NPI 1306846407

Jeffrey Richard Fenwick, MD

Practitioner Otolaryngology Physician Springfield, MO

Practice location

Address: 960 E Walnut Lawn St Suite 102, Springfield, MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3612

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2005041177 (MO)

Other Otolaryngology providers in Missouri →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 15294 (SC)

Registry record

NPI: 1306846407
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2005
Record last updated: 27 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.