Individual
MARK FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 W JACKSON ST STE 103, CARBONDALE, IL 62901-1474
(618) 351-4972
(618) 351-6522
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.130895
IL
207T00000X
Neurological Surgery Physician
35-058145 F
OH
Other
Enumeration date
06/08/2006
Last updated
07/20/2020
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