Individual
DR. BRENT W FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1524 W EISENHOWER BLVD STE C, LOVELAND, CO 80537-4343
(970) 667-2954
(866) 858-0953
Mailing address
1524 W EISENHOWER BLVD STE C, LOVELAND, CO 80537-4343
(970) 667-2954
(866) 858-0953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1592
CO
Other
Enumeration date
03/21/2007
Last updated
11/17/2010
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