RICHARD E FENN

CANON CITY, CO
NPI1164782769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  204743)
Enumeration Date2012-05-17
Last Update Date2015-11-23
Business Address
Mr. RICHARD E FENN CRNA
1338 PHAY AVE
CANON CITY, CO 81212-2302
Phone number: 719-285-2434
Mailing Address
Mr. RICHARD E FENN CRNA
1338 PHAY AVE
CANON CITY, CO 81212-2302
Phone number: 719-285-2434