Fetter, Mark

Fetter, Mark is an individual health care provider with primary practice located at 1615 Petroglyph Point Dr , Prescott AZ 86301-6539. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fetter, Mark can be contacted via phone (928) 777-0200.

Contact Information

Primary practice address
1615 Petroglyph Point Dr Prescott AZ 86301-6539
Phone: (928) 777-0200
Fax: (928) 443-1117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24439 Arizona

Profile Details

NPI number 1568427490
LBN Legal business name Fetter, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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