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Jack Fennel, DO
Adult Medicine Physician in Fort Leonard Wood, Missouri
NPI 1356300271

Jack Fennel is an Adult Medicine Physician based in Fort Leonard Wood, MO and is specialized in Adult Medicine. Jack Fennel practices in Fort Leonard Wood, MO and has the professional credentials of DO. The NPI Number for Jack Fennel is 1356300271 and holds a License No. R9D28 (Missouri).

The current practice location address for Jack Fennel is 126 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-329-8305 and via fax at 573-329-8302.

Location: 126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356300271
Provider Name
Jack Fennel
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Phone Number
573-329-8305
Fax Number
573-329-8302
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-329-8305
Fax Number
573-329-8302
person
Provider Business Mailing Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-329-8305
Fax Number
573-329-8302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R9D28 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
R9D28 (Missouri)
Definition
Definition to come.
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