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

JEFFREY RICHARD FENWICK, MD

Active

JEFFREY RICHARD FENWICK, MD is a Otolaryngology healthcare provider located in SPRINGFIELD, Missouri. NPI 1306846407 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · SPRINGFIELD, MO

Registration Details

NPI Number
1306846407
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2005 (21.016492106872 yrs)
Last Updated
Dec 27, 2018
Licenses
15294 (SC)
2005041177 (MO)

Practice Information

Address
960 E WALNUT LAWN ST
SUITE 102
SPRINGFIELD, MO, 658077506
Browse MO providers · Browse ZIP 65807
Phone
4178753600
Fax
4178753612
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in SPRINGFIELD, MO

Name Credential NPI
DR. DAVID AWREY RANDALL M.D. 1366438426
ANTHONY A BENTLEY D.O. 1316919855
JAMES B WOLFE MD 1568408243
DR. A. DANIEL PINHEIRO MD 1225128655
DR. JACOB E SMITH M.D. 1538249016
DR. ALLAN L. ALLPHIN MD 1538246723
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.