Provider Demographics
NPI:1518908375
Name:FLEMING, ROBERT LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEE
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2721
Mailing Address - Country:US
Mailing Address - Phone:501-778-4674
Mailing Address - Fax:501-778-4694
Practice Address - Street 1:2909 MILITARY RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-2721
Practice Address - Country:US
Practice Address - Phone:501-778-4674
Practice Address - Fax:501-778-4694
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN-8417207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148098001Medicaid
AR5M176OtherBCBS
AR5M176Medicare ID - Type Unspecified
ARD87418Medicare UPIN