Individual
ROBIN M FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
242 WHIPPLE STREET, PRESCOTT, AZ 86301-1787
(928) 778-0808
(928) 778-4788
Mailing address
242 WHIPPLE STREET, PRESCOTT, AZ 86301-1787
(928) 778-0808
(928) 778-4788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AZ31062
AZ
207NS0135X
Procedural Dermatology Physician
AZ31062
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z3689
ACS/HEALTHNET
AZ
01
—
AZ0772850
BC/BA PROVIDER #
AZ
Enumeration date
07/19/2006
Last updated
09/10/2008
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