Provider Demographics
NPI:1821058876
Name:FLEMING, WILLIAM PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PHILIP
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:801 DESERT MARIGOLD CT
Mailing Address - Street 2:
Mailing Address - City:BERNALILLO
Mailing Address - State:NM
Mailing Address - Zip Code:87004-5200
Mailing Address - Country:US
Mailing Address - Phone:505-870-5604
Mailing Address - Fax:844-287-5547
Practice Address - Street 1:801 DESERT MARIGOLD CT
Practice Address - Street 2:
Practice Address - City:BERNALILLO
Practice Address - State:NM
Practice Address - Zip Code:87004-5200
Practice Address - Country:US
Practice Address - Phone:505-870-5604
Practice Address - Fax:844-287-5547
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM8432207V00000X
NM8432208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology