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NPI Code Detail

MEDICARE: MR. CHARLES W FLEISHER MD

MEDICARE:  MR. CHARLES W FLEISHER  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
1207V00000XObstetrics & Gynecology Physician8351NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205990413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES W FLEISHER MD
Provider Business Mailing Address
First Line : 100 N GREEN VALLEY PKWY
Second Line : STE 345
City : HENDERSON
State : NV
Zip : 89074-7705
Country : US
Telephone Number : 702-260-0600
Fax Number : 702-260-4444
Provider Business Practice Location Address
First Line : 100 N GREEN VALLEY PKWY
Second Line : STE 345
City : HENDERSON
State : NV
Zip : 89074-7055
Country : US
Telephone Number : 702-260-0600
Fax Number : 702-260-4444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 11/30/2007

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Directions to “ MR. CHARLES W FLEISHER MD” Practice Location

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