Individual
GLEN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5338
(314) 268-6411
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 977-4866
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD2010-0078
NM
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
R5H36
MO
Other
Enumeration date
07/14/2006
Last updated
01/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us