Individual
DR. JOHN WILLIAM FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2060 FAIRMONT DR, JOHN GEORGE HOSPITAL UNIT B, SAN LEANDRO, CA 94578-1001
(510) 346-1446
Mailing address
2060 FAIRMONT DR, JOHN GEORGE HOSPITAL UNIT B, SAN LEANDRO, CA 94578-1001
(510) 346-1446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A96589
CA
Other
Enumeration date
01/05/2007
Last updated
08/02/2012
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