Dr. Fred Tarry Creech III, M.D.
Dermatology in Cape Coral, FL. Individual provider (NPI-1).
NPI number1982603528
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1982603528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fred Tarry Creech III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2005
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | me 72519 | FL | Yes |
Practice location
304 Del Prado Blvd SUnit C
Cape Coral, FL 33990-5705
Phone 239-458-1700 · Fax 239-458-1887
Mailing address
304 Del Prado Blvd SUnit C
Cape Coral, FL 33990-5705
Phone 239-458-1700 · Fax 239-458-1887
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All 8 Dermatology Physician providers in Cape Coral · All 4,752 providers in Cape Coral
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