NPI 1528162120

Roland Fleck, MD

Practitioner Surgery Physician Jackson, WY

Practice location

Address: 555 E Broadway Suite 212, Jackson, WY 83001
Phone: (307) 733-7677
Fax: (307) 733-7679
Mailing address: PO Box 1766 555 E Broadway Suite 212, Jackson, WY 83001

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2822A (WY)

Other Surgery providers in Wyoming →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M4186 (ID)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 7844 (MT)

Registry record

NPI: 1528162120
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.