Individual
ROBERT LEE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(334) 447-3714
Mailing address
1650 COCHRANE CIR # B7500, FT CARSON, CO 80913-4613
(334) 447-3714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1169326
CO
Other
Enumeration date
03/03/2020
Last updated
03/09/2020
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