DR. Jacqueline Maria Fennerty, DPM

NPI #1992871495 in Springfield, Oregon

Provider Information

NPI Number: 1992871495
Entity Type: Individual
Name: DR. Jacqueline Maria Fennerty, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Nov 27, 2006
Last Updated: Jan 14, 2025

Practice Location

Address: 1435 G ST
City: Springfield
State: Oregon
ZIP Code: 97477-4113
Phone: (541) 735-9420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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