Individual provider · Type 1 NPI

Glen Fenton

Neurology with Special Qualifications in Child Neurology Physician · St. Louis, MO

NPI number 1144246091 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5338 Map

Fax (314) 268-6411

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XMD2010-0078 (NM)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XR5H36 (MO)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1144246091

Glen Fenton's National Provider Identifier is 1144246091, issued on Jul 14, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in St. Louis, MO. The record was last updated on Jan 21, 2021.