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Individual

DR. ROBERT Y FIDLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(804) 272-8806
Mailing address
9720 DEBORAH RIDGE PL, RICHMOND, VA 23238-5549
(804) 741-0485

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7237090
VA
Enumeration date
05/18/2006
Last updated
07/08/2007
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