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Individual
JB FENIX
Active
Individual
JB FENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
17180
NV
2080P0203X
Pediatric Critical Care Medicine Physician
CDR.0003075
CO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
CDR.0003075
CO
Other
Enumeration date
06/07/2011
Last updated
09/15/2026
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