# VANCE L FLETCHER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740324201
- **Authorized official:** DR. VANCE L FLETCHER M.D. (CEO)
- **Authorized official phone:** (808) 671-3715

## Contact information

- **Practice address:** 91-2139 FORT WEAVER RD, SUITE 311, EWA BEACH, HI 96706-3607
- **Practice address phone:** (808) 671-3715
- **Practice address fax:** (808) 677-2027
- **Mailing address:** 91-2139 FORT WEAVER RD, SUITE 311, EWA BEACH, HI 96706-3607
- **Mailing address phone:** (808) 671-3715
- **Mailing address fax:** (808) 677-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 13964 | HI | Yes |

## Other

- **Enumeration date:** 02/17/2007
- **Last updated:** 03/03/2015