NPI 1154475556

Joseph Patrick Fetzek, MD

Practitioner Dermatology Physician Boise, ID

Practice location

Address: 6111 W Overland Rd, Boise, ID 83709-3018
Phone: (208) 377-0450
Mailing address: 10222 Summerwind Dr, Boise, ID 83704-3950

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M3365 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1154475556
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.