Jeffrey Richard Fenwick, MD

NPI #1306846407 in Springfield, Missouri

Provider Information

NPI Number: 1306846407
Entity Type: Individual
Name: Jeffrey Richard Fenwick, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Jul 29, 2005
Last Updated: Dec 27, 2018

Practice Location

Address: 960 E WALNUT LAWN ST
Address 2: SUITE 102
City: Springfield
State: Missouri
ZIP Code: 65807-7506
Phone: (417) 875-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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