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Individual

DR. THOMAS G FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 263-7101
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-7101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8413
ID

Other

Enumeration date
04/05/2006
Last updated
11/19/2014
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