Individual
DR. GARRETT M FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3188
Mailing address
5420 KIETZKE LN, SUITE 105, RENO, NV 89511-3022
(775) 770-3188
(775) 853-8112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15261
NV
390200000X
Student in an Organized Health Care Education/Training Program
TRN16307
FL
Other
Enumeration date
06/22/2011
Last updated
06/12/2014
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