| Freter Family Practice PLLC | |
|
5448 S. White Mountain Blvd 270 Lakeside AZ 85929 | |
| (928) 532-5838 | |
| Not Available |
| Full Name | Freter Family Practice PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5448 S. White Mountain Blvd, Lakeside, Arizona |
| Authorized Official Name and Position | Mark a Freter (PHYCICIAN/OWNER) |
| Authorized Official Contact | 9285325838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freter Family Practice PLLC 5448 S. White Mountain Blvd 270 Lakeside AZ 85929 | Freter Family Practice PLLC 5448 S. White Mountain Blvd 270 Lakeside AZ 85929 Ph: (928) 532-5838 |
| NPI Number | 1609181718 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609181718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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