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MARK D FETTER MD PC
NPI 1124107206
Orthopaedic Surgery - Hand Surgery in Prescott, AZ

Active since November 02, 2006
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301(480) 985-1093 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark D Fetter Md Pc NPPES

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

MARK D FETTER MD PC (NPI 1124107206) is a healthcare organization registered as a hand surgery in Prescott, Arizona and active in the NPI registry since November 2006. The organization lists Mark D Fetter, President, as its authorized official.

NPPES Registry Identity

NPI1124107206
Entity TypeOrganization
Primary Taxonomy207XS0106X
Legal Business NameMARK D FETTER MD PC
Location Address1615 PETROGLYPH POINT DRPrescott, AZ 86301-6539
Mailing Address1615 Petroglyph Point DrPrescott, AZ 86301-6539 · (480) 985-1093
Phone(480) 985-1093
Organization SubpartNo
Authorized OfficialMark D FetterPresident · (480) 985-1093
Enumeration DateNovember 2, 2006
Last NPPES UpdateOctober 10, 2007
✔ NPI 1124107206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Definition
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.
1615 PETROGLYPH POINT DR, Prescott, AZ 86301
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Other Identifiers 1

Medicare PINZ65850AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLARO ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (325) 675-6466
ADVANCED PLASTIC SURGERY CENTER, L.L.C.
Clinic/Center (Ambulatory Surgical)
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (928) 777-0200
MARK FETTER M.D.
Specialist
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (928) 777-0200
PHOENIX ANESTHESIA SPECIALISTS, LLC
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (325) 660-5535

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 Mark D Fetter MD PC's NPI number?

The NPI number for Mark D Fetter MD PC is 1124107206. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Mark D Fetter MD PC located?

Mark D Fetter MD PC is located at 1615 Petroglyph Point Dr, Prescott, AZ 86301. The listed phone number is (480) 985-1093.

What is Mark D Fetter MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Mark D Fetter MD PC was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.