Organization
BRENT W FIDLER
Active
Parent organization
BRENT W FIDLER
Other names
Kodi Fidler O.D., L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENT W FIDLER
Authorized official
DR. BRENT W FIDLER O.D. (OPTOMETRIST)
(970) 577-1027
Entity
Organization
Contact information
Practice address
455 E WONDER VIEW AVE, STE. B1, ESTES PARK, CO 80517-9647
(970) 577-1027
Mailing address
455 E WONDER VIEW AVE, STE. B1, ESTES PARK, CO 80517-9647
(970) 577-1027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
06/25/2008
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