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Contact Information

TERRY R FLECK
11234 ANDERSON ST
HOUSE STAFF OFFICE CP 21005
LOMA LINDA, CA92354-2804
 Phone: 909-433-0552
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for TERRY R FLECK · (Male)

NPI Number 1689846388
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2008
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A108955
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL RIVERSIDE - (Acute Care)
    10800 MAGNOLIA AVENUE
    RIVERSIDE, CA 92505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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