# ANTHONY T. FENISON, M.D., INC.

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

## Provider details

- **NPI number:** 1851523443
- **Authorized official:** DR. ANTHONY T FENISON M.D. (PRESIDENT)
- **Authorized official phone:** (909) 888-2210

## Contact information

- **Practice address:** 155 W HOSPITALITY LN STE 105, SAN BERNARDINO, CA 92408-3317
- **Practice address phone:** (909) 888-2210
- **Mailing address:** 155 W HOSPITALITY LN STE 105, SAN BERNARDINO, CA 92408-3317
- **Mailing address phone:** (909) 888-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G73330 | CA | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 08/14/2009