Freter Family Practice Pllc

NPI #1609181718 in Lakeside, Arizona

Provider Information

NPI Number: 1609181718
Entity Type: Organization
Organization Name: Freter Family Practice Pllc
Primary Specialty: Family Medicine
Enumeration Date: Aug 12, 2010
Last Updated: Aug 12, 2010

Practice Location

Address: 5448 S. WHITE MOUNTAIN BLVD
Address 2: 270
City: Lakeside
State: Arizona
ZIP Code: 85929
Phone: (928) 532-5838

Authorized Official

Name: MARK A FRETER, MD
Title: PHYCICIAN/OWNER
Phone: (928) 532-5838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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