Individual
RICHARD LEE FIDLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, CRNP, MSN
Contact information
Practice address
4150 CLEMENT ST, BLDG 6 DEPT OF ANESTHESIOLOGY, ROOM 201, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
182 STANYAN ST, APT #1, SAN FRANCISCO, CA 94118-4268
(804) 306-4806
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
17255
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3530
CA
Other
Enumeration date
06/13/2007
Last updated
02/20/2019
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