Individual
CYDNEY L FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7340
(208) 381-7341
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
102575
AK
2080P0205X
Pediatric Endocrinology Physician
35-086582
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
9371240
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633473
—
AK
Enumeration date
07/08/2006
Last updated
02/07/2025
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