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Contact Information

GARY B FLETCHER
111 N COLUMBIA AVENUE
CONNELL,, WA99326
 Phone: 509-234-7766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GARY B FLETCHER · (Male)

NPI Number 1295011617
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2011
Last updated 02/02/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PA 10002583
Hospital affiliation(s) Not Available
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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