Healthcare Provider Details

I. General information

NPI: 1578629226
Provider Name (Legal Business Name): RONALD W. FLECK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 03/06/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 CARONDELET DR
RICHLAND WA
99354-3300
US

IV. Provider business mailing address

PO BOX 563
BLANCHARD ID
83804-0563
US

V. Phone/Fax

Practice location:
  • Phone: 509-546-2222
  • Fax: 509-546-2202
Mailing address:
  • Phone: 509-240-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD00019815
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: