Organization
MARK D FETTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D FETTER MD (PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(480) 985-1093
Mailing address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
10/10/2007
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