Individual provider · Type 1 NPI

Gayle Fenner, PA

Surgical Physician Assistant · Walnut Creek, CA

NPI number 1255720025 Active

Practice location

2625 Shadelands Dr
Walnut Creek, CA 94598-2512

Call (925) 939-8585 Map

Fax (925) 933-2709

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X52252 (CA)
Surgical Physician Assistant Primary 363AS0400X52252 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1255720025

Gayle Fenner, PA's National Provider Identifier is 1255720025, issued on Jan 16, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Walnut Creek, CA. The record was last updated on Jan 12, 2021.