Individual
DR. DAKOTA T FREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7401
Mailing address
90 HOPE DR BLDG 600, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-7401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14006
ID
Other
Enumeration date
05/25/2016
Last updated
05/26/2022
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