Individual provider · Type 1 NPI

Jeffrey Richard Fenwick, MD

Otolaryngology Physician · Springfield, MO

NPI number 1306846407 Active

Practice location

960 E Walnut Lawn St, Suite 102
Springfield, MO 65807-7506

Fax (417) 875-3612

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X15294 (SC)
Otolaryngology Physician Primary 207Y00000X2005041177 (MO)

Otolaryngology Physician: 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 and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1306846407

Jeffrey Richard Fenwick, MD's National Provider Identifier is 1306846407, issued on Jul 29, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Springfield, MO. The record was last updated on Dec 27, 2018.