MR. Gray Matthew Fenton, DO

NPI #1124109806 in Sunrise, Florida

Provider Information

NPI Number: 1124109806
Entity Type: Individual
Name: MR. Gray Matthew Fenton, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 18, 2006
Last Updated: Nov 19, 2008

Practice Location

Address: 12651 W SUNRISE BLVD
Address 2: SUITE 202
City: Sunrise
State: Florida
ZIP Code: 33323-0906
Phone: (954) 838-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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