Organization · Type 2 NPI

Fenton Family Practice, LLC

Specialist · Fenton, MO

NPI number 1356493811 Active

About NPI 1356493811

Fenton Family Practice, LLC's National Provider Identifier is 1356493811, issued on Jan 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fenton, MO. The record was last updated on Sep 19, 2013.