Joseph P. Fetzek M.D., P.A. in Boise - Dermatology
Joseph P. Fetzek M.D., P.A. - NPI 1982736435
Joseph P. Fetzek M.D., P.A. is a Dermatology in Boise, Idaho. Joseph P. Fetzek M.D., P.A. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Joseph P. Fetzek M.D., P.A. is 1982736435. The last update date is 2020-08-22.
Joseph P. Fetzek M.D., P.A.'s current location address is 10222 Summerwind Dr, Boise, Idaho. You can contact this provider via phone number 2083773427. The mailing address for Joseph P. Fetzek M.D., P.A. is 10222 Summerwind Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joseph P. Fetzek M.D., P.A. |
|---|---|
| Address | 10222 Summerwind Dr, Boise, Idaho |
| Phone Number | 2083773427 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fetzek Patrick Joseph |
| Credentials | M.D. |
| Telephone Number | 2083773427 |
NPI Number Detail
| NPI Number | 1982736435 |
|---|---|
| Provider Enumeration Date | 2007-03-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10222 Summerwind Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837043950 |
| Phone Number | 2083773427 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M3365 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the Joseph P. Fetzek M.D., P.A.'s unique identification number?
The Joseph P. Fetzek M.D., P.A. has been assigned the NPI (National Provider Identifier) Number 1982736435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Joseph P. Fetzek M.D., P.A.'s physical address?
The Joseph P. Fetzek M.D., P.A. is physically located at 10222 Summerwind Dr, in the city of Boise, ID, with the postal code 837043950.
What is the Joseph P. Fetzek M.D., P.A.'s specialty and taxonomy code?
The Joseph P. Fetzek M.D., P.A.'s specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982736435 to Joseph P. Fetzek M.D., P.A.?
The Centers for Medicare & Medicaid Services assigned the 1982736435 to Joseph P. Fetzek M.D., P.A. on 2007-03-11.
As of what date were the details pertaining to Joseph P. Fetzek M.D., P.A. last refreshed?
The information related to the Joseph P. Fetzek M.D., P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.