Individual
ANTHONY TYRON FENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23100 EUCALYPTUS AVE, MORENO VALLEY, CA 92553
(951) 924-4700
(951) 924-1320
Mailing address
23100 EUCALYPTUS AVE, MORENO VALLEY, CA 92553
(951) 924-4700
(951) 924-1320
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73330
CA
Other
Enumeration date
09/20/2006
Last updated
02/14/2016
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