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Individual

DR. KENNETH BARRY FLEISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5635 N SCOTTSDALE RD STE 170, SCOTTSDALE, AZ 85250-5945
(602) 386-9982
Mailing address
5635 N SCOTTSDALE RD STE 170, SCOTTSDALE, AZ 85250-5945
(602) 386-9982

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28922
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148363
AZ
01
3981220
EVERCARE GROUP
AZ
01
453051001
GROUP HEALTH GRP
AZ
01
860373636
HUMANA GRP
AZ
01
AW1436
HEALTHNET GRP
AZ
01
AZ0728670
BLUECROSS BLUESHIELD GRP
AZ
Enumeration date
11/18/2005
Last updated
06/13/2013
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