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Contact Information

ROGER G FENNELL, MD
207 LEGION ROAD
BRAWLEY, CA92227
 Phone: 760-351-3409
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ROGER G FENNELL · (Male)

NPI # 1639123581
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD017897E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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