| Dr Dale T Fetroe, MD | |
|
1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 | |
| (509) 543-5903 | |
| Not Available |
| Full Name | Dr Dale T Fetroe |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1301 Ephrata, Connell, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124025721 | NPI | - | NPPES |
| 080173711 | Other | WA | RAILROAD MEDICARE |
| 239467 | Medicaid | OR | |
| 1111855 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00018950 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale T Fetroe, MD 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 Ph: (509) 543-5903 | Dr Dale T Fetroe, MD 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 Ph: (509) 543-5903 |
Joel R Mundall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 N Columbia Ave, Connell, WA 99326 Phone: 509-234-7766 | |
Jessica Pearl, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5800 |