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Individual

JAMES ASHLEY FENNELL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2084 N 1700 W, SUITE A, LAYTON, UT 84041
(801) 773-8644
(801) 773-9828
Mailing address
2086 N 1700 W, SUITE C, LAYTON, UT 84041
(801) 773-8644
(801) 927-1591

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186237-1205
UT

Other

Enumeration date
07/12/2005
Last updated
09/11/2012
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