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Individual

JESSICA LEE FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2322
NE
207R00000X
Internal Medicine Physician
8344
NE
208M00000X
Hospitalist Physician
Primary
009450
AZ

Other

Enumeration date
06/21/2018
Last updated
08/22/2022
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