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Organization

FRETER FAMILY PRACTICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A FRETER MD (PHYCICIAN/OWNER)
(928) 532-5838
Entity
Organization

Contact information

Practice address
5448 S. WHITE MOUNTAIN BLVD, 270, LAKESIDE, AZ 85929
(928) 532-5838
Mailing address
5448 S. WHITE MOUNTAIN BLVD, 270, LAKESIDE, AZ 85929

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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