DR. Dale T Fetroe, MD

NPI #1124025721 in Connell, Washington

Provider Information

NPI Number: 1124025721
Entity Type: Individual
Name: DR. Dale T Fetroe, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 28, 2005
Last Updated: Mar 22, 2011

Practice Location

Address: 1301 EPHRATA
Address 2: C/O COYOTE RIDGE CORRECTION CENTER
City: Connell
State: Washington
ZIP Code: 99326
Phone: (509) 543-5903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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