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NPI Code Detail

MEDICARE: CLARK CAFFERY FLETCHINGER MD

MEDICARE: CLARK CAFFERY FLETCHINGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramLA

General Provider Information

NPI Number : 1245178565
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARK CAFFERY FLETCHINGER MD
Provider Business Mailing Address
First Line : 433 BOLIVAR ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-7021
Country : US
Telephone Number : 504-568-4808
Fax Number :
Provider Business Practice Location Address
First Line : 433 BOLIVAR ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-7021
Country : US
Telephone Number : 504-568-4808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 06/08/2026

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Directions to “ CLARK CAFFERY FLETCHINGER MD” Practice Location

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