Individual
BRIAN KEITH FENMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18344 CLARK ST, SUITE 202, TARZANA, CA 91356-3505
(818) 708-8011
(818) 708-8826
Mailing address
18344 CLARK ST, #202, TARZANA, CA 91356-3505
(818) 708-8011
(818) 708-8826
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A043642
CA
Other
Enumeration date
08/29/2006
Last updated
08/01/2012
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