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General NPI Number Information
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NPI Number | 1760594071
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Entity Type | Individual
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Provider Name | CARL E FRETER MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 4571 LACLEDE AVE # 315
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2006023033
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD70054352
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License Number State | WA
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