Individual
ALAN EUGENE FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDCS
Contact information
Practice address
4914 SO STONE CREST DR, MURRAY, UT 84107
(801) 541-5225
(801) 265-2234
Mailing address
4914 SO STONE CREST DR, MURRAY, UT 84107
(801) 541-5225
(801) 265-2234
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
32536
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870443539001
—
UT
Enumeration date
11/09/2006
Last updated
07/08/2007
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