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Individual

JOHN R. FLETCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2503 S AVENUE A #3, YUMA, AZ 85364-7174
(928) 344-3250
(928) 344-3253
Mailing address
2503 S AVENUE A #3, YUMA, AZ 85364-7174
(928) 344-3250
(928) 344-3253

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28797
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
543448
AZ
01
AZ0877760
BCBS
AZ
Enumeration date
12/08/2006
Last updated
10/04/2007
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