Jeffrey Richard Fenwick in Springfield - Otolaryngology
Jeffrey Richard Fenwick - NPI 1306846407
Jeffrey Richard Fenwick is a Otolaryngology in Springfield, Missouri. Jeffrey Richard Fenwick practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jeffrey Richard Fenwick is 1306846407. The last update date is 2018-12-27.
Jeffrey Richard Fenwick's current location address is 960 E Walnut Lawn St, Springfield, Missouri. You can contact this provider via phone number 4178753600 and fax number 4178753612. The mailing address for Jeffrey Richard Fenwick is 960 E Walnut Lawn St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Richard Fenwick |
|---|---|
| Address | 960 E Walnut Lawn St, Springfield, Missouri |
| Phone Number | 4178753600 |
| Fax Number | 4178753612 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306846407 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2018-12-27 |
Provider Mailing Address Detail
| Address | 960 E Walnut Lawn St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658077506 |
| Phone Number | 4178753600 |
| Fax Number | 4178753612 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 15294 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 152998 | SC | -- | |
| 200282606 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey Richard Fenwick by the Centers for Medicare & Medicaid Services?
The Jeffrey Richard Fenwick has been issued the NPI (National Provider Identifier) 1306846407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jeffrey Richard Fenwick's facilities are geographically located?
The facilities of Jeffrey Richard Fenwick are physically situated at the following location: 960 E Walnut Lawn St, Springfield, MO, 658077506.
What is the Jeffrey Richard Fenwick's area of specialization and corresponding taxonomy classification?
The Jeffrey Richard Fenwick's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did the Jeffrey Richard Fenwick receive its 1306846407?
The Jeffrey Richard Fenwick was issued its 1306846407 on 2005-07-29, which is the date when the organization was assigned this unique identifier.
As of what date were the Jeffrey Richard Fenwick's details last updated?
The information pertaining to the Jeffrey Richard Fenwick, including its address, specialty, and other details, was most recently updated on 2018-12-27.
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