Individual
GAVIN FIDDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2023-00584
NC
208600000X
Surgery Physician
Primary
35.154320
OH
208600000X
Surgery Physician
R76654
AZ
Other
Enumeration date
04/25/2018
Last updated
10/15/2025
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