Individual
JAMES FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 255-5123
(702) 255-5053
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4650
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4650
NV
Other
Enumeration date
09/20/2006
Last updated
03/11/2009
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