Jack Fennel, DO
NPI #1356300271 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1356300271
- Entity Type
- Individual
- Name
- Jack Fennel, DO
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine - Adult Medicine
- Credential
- DO
- Enumeration Date
- Mar 20, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 126 MISSOURI AVE
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 329-8305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Adult Medicine — Adult Medicine |
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