MARK D FETTER MD PC NPI 1124107206

NPI Information

MARK D FETTER MD PC is a hand surgery orthopaedic surgery in Prescott, AZ. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. MARK D FETTER MD PC NPI is 1124107206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1615 PETROGLYPH POINT DR
PRESCOTT, AZ
ZIP 86301-539
Phone: (480) 985-1093

The provider's authorized official is Mark D Fetter .
The authorized official title is President and has the following contact phone number (480) 985-1093.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.