Individual
TIMOTHY JOSEPH FETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3217 S PROVIDENCE RD, COLUMBIA, MO 65203-3639
(573) 882-4730
(573) 884-4899
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9168
MO
Other
Enumeration date
08/08/2006
Last updated
11/03/2011
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