Individual
TIMOTHY FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 CHARLES AVE, WORLAND, WY 82401-4122
(307) 347-2405
Mailing address
449 MOUNTAIN VIEW ST, POWELL, WY 82435-2232
(307) 754-4559
(307) 754-7733
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2071A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032810
—
MT
01
—
06006340
RAILROAD MEDICARE
WY
05
—
115857100
—
WY
01
—
308637
BLUE CROSS BLUE SHEILD
WY
Enumeration date
10/20/2005
Last updated
02/16/2016
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