Individual
JOHN FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
218 SOUTH SPARKS STREET, APARTMENT 107, STATE COLLEGE, PA 16801-8409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
PA
363A00000X
Physician Assistant
Primary
2880
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
05/06/2016
Last updated
10/15/2024
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