Randall Scott Fenner M.D.

NPI 1073780375 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073780375
Gender Male
Enumeration Date 05/15/2008
Last Updated 07/25/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1305 W 18TH ST
SIOUX FALLS SD, 57105-0401, US
Phone (605) 328-8700
Business Location
PO BOX 5074
SIOUX FALLS SD, 57117-5074, US
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Randall Scott Fenner M.D. NPI is 1073780375, taxonomy code is 390200000X Randall Scott Fenner M.D. physically located at 1305 W 18th St, Sioux Falls SD, 57105-0401. NPI Number Randall Scott Fenner M.D. has the Individual type.

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1073780375 NPI number is provided on an as is basis without warranty of any kind. 1073780375 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Scott Fenner M.D. are for informational purposes only.