Individual
MR. JEFF GORDON FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2507 E 27TH AVE, SPOKANE, WA 99223-4908
(509) 456-6917
(509) 456-5902
Mailing address
2507 E 27TH AVE, SPOKANE, WA 99223-4908
(509) 456-6917
(509) 456-5902
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8332652
—
WA
Enumeration date
02/05/2007
Last updated
11/28/2012
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