Individual
DR. ANN FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
341 S MARINE CORPS DR, SUITE 104, TAMUNING, GU 96913-3970
(671) 989-1368
Mailing address
341 S MARINE CORPS DR, SUITE 104, TAMUNING, GU 96913-3970
(671) 989-1368
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01054715A
IN
208800000X
Urology Physician
Primary
M-1855
GU
Other
Enumeration date
01/03/2006
Last updated
05/15/2024
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