Basic Information
| Provider Information | |||||||||
| NPI: | 1538225354 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLEMING | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | XAVIER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 1067 | ||||||||
| Address2: | |||||||||
| City: | LAKESIDE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 599221067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4068440212 | ||||||||
| FaxNumber: | 4068440212 | ||||||||
| Practice Location | |||||||||
| Address1: | 166 TROUTBECK RD. | ||||||||
| Address2: | |||||||||
| City: | LAKESIDE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 599221067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604350242 | ||||||||
| FaxNumber: | 3604359135 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 01/05/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD19312 | WA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.