Individual
BRYAN SCOTT FIDDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 269-1952
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 269-1952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC11833F
MEDICAL
CA
Enumeration date
06/05/2008
Last updated
06/05/2008
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