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Individual

DR. JOHN PERRY FIDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC CHIROPRACTOR

Contact information

Practice address
2301 US HWY 105 S, BOONE, NC 28679
(828) 264-1561
(828) 264-1560
Mailing address
2301 US HWY 105 S, BOONE, NC 28679
(828) 264-1561
(828) 264-1560

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
200001376959
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08409
STATE PLAN
NC
Enumeration date
05/01/2007
Last updated
04/24/2013
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