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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN FENTON

Active

GLEN FENTON is a Neurology with Special Qualifications in Child Neurology healthcare provider located in SAINT LOUIS, Missouri. NPI 1144246091 is currently active in the NPPES registry. Verify at CMS.

Neurology with Special Qualifications in Child Neurology · SAINT LOUIS, MO

Registration Details

NPI Number
1144246091
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2006 (20.093545728315 yrs)
Last Updated
Jan 21, 2021
Licenses
MD2010-0078 (NM)
R5H36 (MO)

Practice Information

Address
1465 S GRAND BLVD
SAINT LOUIS, MO, 631041003
Browse MO providers · Browse ZIP 63104
Phone
3145775338
Fax
3142686411

Other Neurology with Special Qualifications in Child Neurology Providers in SAINT LOUIS, MO

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.