Individual
DAVID A FLEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TECH
Contact information
Practice address
4100 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5901
(505) 462-8855
(505) 462-8526
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PENDING
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
05/15/2007
Last updated
07/08/2007
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