Fenton Family Physicians, LLC
Family Medicine in Fenton, MO. Organization (NPI-2).
NPI number1679939128
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1679939128
- Entity type
- Organization (NPI-2)
- Legal business name
- Fenton Family Physicians, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 13, 2016
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
774 Gravois Bluffs Blvd Ste BFenton, MO 63026-7758
Phone 636-685-7734 · Fax 314-590-5922
Mailing address
774 Gravois Bluffs BlvdFenton, MO 63026-7758
Phone 636-685-7804 · Fax 314-336-5205
Authorized official
Darren R. Haskell
Chief Medical Officer
3142056444
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All 23 Family Medicine Physician providers in Fenton · All 705 providers in Fenton
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