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Individual

JOSHUA FIDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8130 OLD SEWARD HWY STE 102, ANCHORAGE, AK 99518-3349
(907) 522-7466
Mailing address
8130 OLD SEWARD HWY STE 102, ANCHORAGE, AK 99518-3349
(907) 522-7466

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
109516
AK
111N00000X
Chiropractor
9452589-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124403357
NPI
Enumeration date
07/29/2015
Last updated
05/31/2016
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