Individual
BARBARA A. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
53 S MEDICAL PARK DR, FISHERSVILLE, VA 22939-2333
(540) 932-5687
(540) 932-5688
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4629
(540) 932-4616
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
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