Individual
ALEX FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 VAN NESS AVE, SAN FRANCISCO, CA 94109-6919
(415) 600-1010
Mailing address
3611 UNIVERSITY DR APT 19J, DURHAM, NC 27707-6218
(805) 455-4191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56046
CA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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