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Individual

DR. PHILIP E FIDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 COIT RD STE 305, PLANO, TX 75075-6172
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 12187, AUGUSTA, GA 30914-2187
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R8186
TX
2086S0102X
Surgical Critical Care Physician
0101273072
VA
2086S0102X
Surgical Critical Care Physician
10838A
WY
2086S0102X
Surgical Critical Care Physician
19524
NV
2086S0102X
Surgical Critical Care Physician
27572
MS
2086S0102X
Surgical Critical Care Physician
73960
GA
2086S0102X
Surgical Critical Care Physician
CDRH.0055039
CO
2086S0102X
Surgical Critical Care Physician
MC-0432
ID
2086S0102X
Surgical Critical Care Physician
MD0000064204
TN
2086S0102X
Surgical Critical Care Physician
ME152606
FL
2086S0102X
Surgical Critical Care Physician
R8186
TX

Other

Enumeration date
03/14/2006
Last updated
05/29/2025
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