Healthcare Provider Details

I. General information

NPI: 1619915477
Provider Name (Legal Business Name): HILARI L FLEMING M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5590 KIETZKE LN
RENO NV
89511-3019
US

IV. Provider business mailing address

5590 KIETZKE LN
RENO NV
89511-3019
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-2080
  • Fax: 775-323-8216
Mailing address:
  • Phone: 775-323-2080
  • Fax: 775-323-8216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number6196
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: