Individual
MR. RICHARD E FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2434
(719) 285-2101
Mailing address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2434
(719) 285-2101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
204743
CO
Other
Enumeration date
05/17/2012
Last updated
11/23/2015
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