Individual
DANIEL TRUMAN FLETCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6286 BRIARCREST AVE, SUTIE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 701-2400
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
43438
TN
207X00000X
Orthopaedic Surgery Physician
E-7706
AR
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
43438
TN
207XS0106X
Orthopaedic Hand Surgery Physician
E-7706
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00171710
—
MS
01
—
0546047
CIGNA
TN
05
—
110318002
—
AR
05
—
1507098
—
TN
05
—
3371161
—
TN
01
—
4174181
BCBS
TN
01
—
620819926
BCBS
MS
01
—
620819926
CIGNA
TN
05
—
7187860
—
MS
01
—
9119125
AETNA
TN
01
—
P00624372
RAILROAD MEDICARE
TN
Enumeration date
04/17/2007
Last updated
03/17/2021
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