Provider Demographics
NPI:1831125186
Name:FEIGENBUTZ, ERIC JOEL (RVT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JOEL
Last Name:FEIGENBUTZ
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-3001
Mailing Address - Country:US
Mailing Address - Phone:602-750-3427
Mailing Address - Fax:
Practice Address - Street 1:5319 N 15TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-3001
Practice Address - Country:US
Practice Address - Phone:602-750-3427
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist