Individual
DANIEL MILES FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9900
Mailing address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14024734-4405
UT
Other
Enumeration date
06/19/2024
Last updated
03/17/2025
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