Organization
VANCE L FLETCHER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE L FLETCHER M.D. (CEO)
(808) 671-3715
Entity
Organization
Contact information
Practice address
91-2139 FORT WEAVER RD, SUITE 311, EWA BEACH, HI 96706-3607
(808) 671-3715
(808) 677-2027
Mailing address
91-2139 FORT WEAVER RD, SUITE 311, EWA BEACH, HI 96706-3607
(808) 671-3715
(808) 677-2027
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
13964
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589012
—
HI
Enumeration date
02/17/2007
Last updated
03/03/2015
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