Individual
ARTHUR C FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S ELISEO DR, #103, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744
Mailing address
1000 S ELISEO DR, #103, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G13883
CA
208600000X
Surgery Physician
G13883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040017876
RAILROAD MCR
CA
05
—
00G138830
—
CA
Enumeration date
12/05/2006
Last updated
03/01/2010
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