DR. DALE T FETROE MD
NPI 1124025721
Family Medicine in Connell, WA

Q: What is Dale Fetroe's NPI number?

The NPI number for Dale Fetroe is 1124025721. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Dale Fetroe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Fetroe was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2005

1301 EPHRATA, C/O COYOTE RIDGE CORRECTION CENTER, CONNELL, WA 99326(509) 543-5903 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dale T Fetroe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE T FETROE MD (NPI 1124025721) is an individual family medicine provider in Connell, Washington, licensed in Washington (MD00018950) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1124025721

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DALE T FETROECredential: MD

Location Address1301 EPHRATA, C/O COYOTE RIDGE CORRECTION CENTERConnell, WA 99326

Mailing Address1301 Ephrata, C/o Coyote Ridge Correction CenterConnell, WA 99326 · (509) 543-5903

Phone(509) 543-5903

Sole ProprietorNo

Enumeration DateJune 28, 2005

Last NPPES UpdateMarch 22, 2011

✔ NPI 1124025721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00018950

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1301 EPHRATA, Connell, WA 99326

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Other Identifiers 5

Medicare UPINA22616WA

Medicare PINGAB29897WA

Other080173711WA · Railroad Medicare

Medicaid1111855WA

Medicaid239467OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Fetroe's NPI number?

The NPI number for Dale Fetroe is 1124025721. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Dale Fetroe located?

Dale Fetroe practices at 1301 Ephrata C/O Coyote Ridge Correction Center, Connell, WA 99326. The listed phone number is (509) 543-5903.

What is Dale Fetroe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dale Fetroe was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.