# CARTER P FENTON SR CLINICS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750697322
- **Authorized official:** CARTER P FENTON DO (PRESIDENT)
- **Authorized official phone:** (573) 887-3688

## Contact information

- **Practice address:** 206 S MAIN ST, CHAFFEE, MO 63740-1002
- **Practice address phone:** (573) 887-3688
- **Practice address fax:** (573) 887-9022
- **Mailing address:** PO BOX 98, CHAFFEE, MO 63740-0098
- **Mailing address phone:** (573) 887-3688
- **Mailing address fax:** (573) 887-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31606 | MO | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 04/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 240965905 | — | MO |