| Vance L Fletcher Md Llc | |
|
91-2139 Fort Weaver Rd Suite 311 Ewa Beach HI 96706-3607 | |
| (808) 671-3715 | |
| (808) 677-2027 |
| Full Name | Vance L Fletcher Md Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 91-2139 Fort Weaver Rd, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Vance L Fletcher (CEO) |
| Authorized Official Contact | 8086713715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance L Fletcher Md Llc 91-2139 Fort Weaver Rd Suite 311 Ewa Beach HI 96706-3607 Ph: (808) 671-3715 | Vance L Fletcher Md Llc 91-2139 Fort Weaver Rd Suite 311 Ewa Beach HI 96706-3607 Ph: (808) 671-3715 |
| NPI Number | 1740324201 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740324201 | NPI | - | NPPES |
| 589012 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 13964 (Hawaii) | Primary |
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