Individual ProviderStuart J FealkAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address104 W 5th Ave, Ste 230e, Spokane, WA 99204-2483(509) 838-8561(509) 838-8828PECOS EnrollmentBased on the most recent information from CMS, provider Stuart J Fealk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1528071859Provider TypeIndividualFull NameFealk, Stuart JTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date8/15/2006Last Updated10/23/2007Contact InformationPractice LocationPractice Address104 W 5th Ave, Ste 230e, Spokane, WA 99204-2483Phone(509) 838-8561Fax(509) 835-4058Mailing LocationMailing Address104 W 5th Ave, Ste 230e, Spokane, WA 99204-2483Phone(509) 838-8828Fax(509) 835-4058Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense19669WashingtonProvider IdentifiersIDDescriptionIssuerID8318305DescriptionMedicaidIssuerUnlistedWashington