Provider Demographics
NPI:1538225354
Name:FLEMING, RICHARD XAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:XAVIER
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1067
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE
Mailing Address - State:MT
Mailing Address - Zip Code:59922-1067
Mailing Address - Country:US
Mailing Address - Phone:406-844-0212
Mailing Address - Fax:406-844-0212
Practice Address - Street 1:166 TROUTBECK RD.
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:MT
Practice Address - Zip Code:59922-1067
Practice Address - Country:US
Practice Address - Phone:360-435-0242
Practice Address - Fax:360-435-9135
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD19312207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D96296Medicare UPIN