Individual
BARBARA A. FENTON
Active
Individual
BARBARA A. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036000
VA
207R00000X
Internal Medicine Physician
11174
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094706
BCBS PIN
MT
01
—
0157105
MDCD PIN
MT
01
—
123239800
MDCD PIN
WY
Enumeration date
08/30/2006
Last updated
04/06/2012
Update your record
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