| Kurt Fleagle M.D. | |
|
5250 Far Hills Ave Suite 210 Dayton OH 45429 | |
| (937) 434-4775 | |
| (833) 450-5129 |
| Full Name | Kurt Fleagle M.D. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5250 Far Hills Ave, Dayton, Ohio |
| Authorized Official Name and Position | Kurt Andrew Fleagle (PHYSICIAN) |
| Authorized Official Contact | 9374344775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt Fleagle M.D. 5250 Far Hills Ave Suite 210 Dayton OH 45429 Ph: (937) 434-4775 | Kurt Fleagle M.D. 5250 Far Hills Ave Suite 210 Dayton OH 45429 Ph: (937) 434-4775 |
| NPI Number | 1699967513 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 05/05/2024 |
| Certification Date | 05/05/2024 |
| Medicare PECOS PAC ID | 3173581360 |
|---|---|
| Medicare Enrollment ID | O20041220000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699967513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| Provider Name | Kurt a Fleagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750382602 PECOS PAC ID: 1951369149 Enrollment ID: I20041220000797 |
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