Individual
MR. GARY BYRON FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N COLUMBIA AVENUE, CONNELL,, WA 99326
(509) 234-7766
Mailing address
PO BOX 395, LEXINGTON, OR 97839-0395
(541) 989-8187
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10002583
WA
Other
Enumeration date
10/31/2011
Last updated
02/02/2017
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