Healthcare Provider Details

I. General information

NPI: 1538333554
Provider Name (Legal Business Name): ANTHONY FLEG MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 02/16/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 BORADMOOR BLVD NE UNM SANDOVAL REGIONAL MEDICAL CENTER
RIO RANCHO NM
87144
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-7000
  • Fax: 505-552-5805
Mailing address:
  • Phone: 505-272-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2011-0558
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: