Duane Lee Fenton in Grand Junction - Physician Assistant
Duane Lee Fenton - NPI 1205979689
Duane Lee Fenton is a Physician Assistant in Grand Junction, Colorado. Duane Lee Fenton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Duane Lee Fenton is 1205979689. The last update date is 2019-10-14.
Duane Lee Fenton's current location address is Po Box 2608, Grand Junction, Colorado. You can contact this provider via phone number 9702632619 and fax number 9702632691. The mailing address for Duane Lee Fenton is Po Box 2608, Grand Junction, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Duane Lee Fenton |
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Address | Po Box 2608, Grand Junction, Colorado |
Phone Number | 9702632619 |
Fax Number | 9702632691 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1205979689 |
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Provider Enumeration Date | 2007-02-15 |
Last Updated Date | 2019-10-14 |
Provider Mailing Address Detail
Address | Po Box 2608 |
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City | Grand Junction |
State | Colorado (CO) |
Post Code | 815022608 |
Phone Number | 9702632619 |
Fax Number | 9702632691 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PAL-2390 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00638187 | CO | RR MEDICARE PIN | |
85629375 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Duane Lee Fenton by the Centers for Medicare & Medicaid Services (CMS)?
The Duane Lee Fenton has been assigned the NPI (National Provider Identifier) 1205979689. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Duane Lee Fenton?
The Duane Lee Fenton is physically situated at Po Box 2608, in the city of Grand Junction, state of CO, with the postal code 815022608.
What is the Duane Lee Fenton's specialty and taxonomy code?
The Duane Lee Fenton's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205979689 to Duane Lee Fenton?
The Duane Lee Fenton received its 1205979689 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the details related to Duane Lee Fenton most recently updated or revised?
The information pertaining to Duane Lee Fenton, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-14.
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