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NPI Code Detail

MEDICARE: JOHN P FLETCHER D.O.

MEDICARE: JOHN P FLETCHER D.O.
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
1207Q00000XFamily Medicine Physician20A56751CA

General Provider Information

NPI Number : 1639163041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN P FLETCHER D.O.
Provider Business Mailing Address
First Line : 199 W SHIELDS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-4102
Country : US
Telephone Number : 559-323-5660
Fax Number : 559-298-9002
Provider Business Practice Location Address
First Line : 199 W SHIELDS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-4102
Country : US
Telephone Number : 559-225-4706
Fax Number : 559-225-4710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 03/04/2010

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