Individual
PATRICK FIDDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3200
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3636
TN
Other
Enumeration date
08/26/2020
Last updated
03/02/2021
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