Organization
EUGENE C FLETCHER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE C FLETCHER M.D. (OWNER)
(812) 948-5841
Entity
Organization
Contact information
Practice address
428 VINCENNES ST, NEW ALBANY, IN 47150-3054
(812) 948-5841
Mailing address
PO BOX 317, NEW ALBANY, IN 47151-0317
(812) 948-5841
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01046080A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29686
KY
207RP1001X
Pulmonary Disease Physician
Primary
01046080A
IN
207RP1001X
Pulmonary Disease Physician
29686
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057650B
—
IN
05
—
64296866
—
KY
Enumeration date
05/02/2007
Last updated
10/21/2008
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