Search › Missouri › Neurology with Special Qualifications in Child Neurology Physician
Glen Fenton
NPI 1144246091 · on the registry since 2006
Practice
- Address
- 1465 S Grand Blvd
Saint Louis, MO 63104 - Phone
- (314) 577-5338
- Fax
- (314) 268-6411
- Organisation at this address
- Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 533
Registry record
- Primary taxonomy
- Neurology with Special Qualifications in Child Neurology Physician
2084N0402X
- Also registered as
- Neurology with Special Qualifications in Child Neurology Physician
- Licence states on file
- NM, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri