Organization
ANTHONY T. FENISON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY T FENISON M.D. (PRESIDENT)
(909) 888-2210
Entity
Organization
Contact information
Practice address
155 W HOSPITALITY LN STE 105, SAN BERNARDINO, CA 92408-3317
(909) 888-2210
Mailing address
155 W HOSPITALITY LN STE 105, SAN BERNARDINO, CA 92408-3317
(909) 888-2210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73330
CA
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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