Provider Demographics
NPI:1306808837
Name:FEINBERG, DALE (DPM)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 W 25TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6925
Mailing Address - Country:US
Mailing Address - Phone:928-317-8900
Mailing Address - Fax:928-317-8903
Practice Address - Street 1:1951 W 25TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6925
Practice Address - Country:US
Practice Address - Phone:928-317-8900
Practice Address - Fax:928-317-8903
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0278213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT19232Medicare UPIN
AZ0841170001Medicare NSC