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Individual
TOD E FLEMING
Active
Individual
TOD E FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202076
DEPT OF LABOR & INDUSTRIE
WA
01
—
2828FL
ASURIS NW HEALTH
—
05
—
805849600
—
ID
05
—
8424822
—
WA
01
—
G8860586
MEDICARE ID
—
Enumeration date
05/18/2006
Last updated
11/15/2024
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