Glen Fenton
Child Neurologist
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
Glen Fenton
Child Neurologist
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
(314) 977-4866
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Glen Fenton
- 1465 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1003
- Phone : (314) 977-4866
Second Address
- Glen Fenton
- 1465 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1003
- Fax : (314) 268-6411
- Phone : (314) 577-5338
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0402X | Child Neurologist | MD2010-0078 | NM |
| Y | 2084N0402X | Child Neurologist | R5H36 | MO |
National Provider Identifier
| NPI | 1144246091 |
|---|---|
| Provider Name | Glen Fenton |
| First Address | Saint Louis, MO 63104-1003 |
| Second Address | Saint Louis, MO 63104-1003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 21/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.