Individual
PHILIP FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4049 E WILLIAMS FIELD RD STE 101, GILBERT, AZ 85295-3217
(480) 597-9497
Mailing address
19924 E VIA DE ARBOLES, QUEEN CREEK, AZ 85142-5028
(801) 200-4674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8915
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/09/2021
Last updated
10/21/2022
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