Individual
ANTHONY CHARLES FLETES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
17455 AIRLIFTER DR, JBER, AK 99506-3902
(907) 551-1699
Mailing address
19387A MONASTERY DR, EAGLE RIVER, AK 99577-9269
(817) 343-2441
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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