Brenna Fanning MD
Surgery Physician in Butte, MT(View on Map)
Full Name
Brenna Fanning MD
NPI Number
1235698093
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/19/2019
Specialties
(Taxonomies)Code
208600000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Montana
License Number
MED-PHYS-LIC-143760
Contact
Information
Purpose
Mailing
Location
Address
435 S CRYSTAL ST STE 200
435 S CRYSTAL ST STE 200
City
Butte
Butte
State
MT
MT
Postal Code
59701-1506
59701-1506
Country
US
US
Telephone Number
(406) 496-3480
(406) 496-3480
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2024