Organization
ANTHONY FENISON, MD, INC
Active
Parent organization
ANTHONY FENISON, MD, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTHONY FENISON, MD, INC
Authorized official
ANTHONY FENISON M.D. (MEDICAL DIRECTOR)
(909) 888-2210
Entity
Organization
Contact information
Practice address
155 W HOSPITALITY LN STE 105, SAN BERNARDINO, CA 92408-3317
(909) 888-2210
Mailing address
2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
(310) 474-9809
(888) 652-3017
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73330
CA
Other
Enumeration date
02/23/2010
Last updated
03/01/2011
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