Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD00032656 | WA |
Y | 208600000X | Surgeon | MD00032656 | WA |
N | 2082S0105X | Plastic Hand Surgeon | MD00032656 | WA |
NPI | 1780766709 |
---|---|
Provider Name | Francis X Fleming |
First Address | Kennewick, WA 99338 |
Second Address | Richland, WA 99352-4390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0237379 | L&I (01) | WA |
8515348 | (05) | WA |
G07711 | (02) | WA |