Individual provider · Type 1 NPI
Gary Byron Fletcher
Medical Physician Assistant · Connell,, WA
NPI number
1295011617
Active
Practice location
111 N Columbia Avenue
Connell,, WA 99326
Mailing address
PO Box 395
Lexington, OR 97839-0395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 10002583 (WA) |
Medical Physician Assistant: Definition to come...
About NPI 1295011617
Gary Byron Fletcher's National Provider Identifier is 1295011617, issued on Oct 31, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Connell,, WA. The record was last updated on Feb 2, 2017.