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Dr. Corey Michael Fidler, DPM
Foot & Ankle Surgery Podiatrist in Roanoke, Virginia
NPI 1942566252

Corey Michael Fidler is a Foot & Ankle Surgery Podiatrist based in Roanoke, VA and is specialized in Foot & Ankle Surgery. Corey Michael Fidler practices in Roanoke, VA and has the professional credentials of DPM. The NPI Number for Corey Michael Fidler is 1942566252 and holds a License No. 0103301175 (Virginia).

The current practice location address for Corey Michael Fidler is 3 Riverside Cir, Roanoke, VA and can be reached out via phone at 540-725-1226 and via fax at 540-857-5306.

Location: 3 Riverside Cir, Roanoke, VA, 24011-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942566252
Provider Name
Corey Michael Fidler
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3 Riverside Cir, Roanoke, VA, 24011-1713
Phone Number
540-725-1226
Fax Number
540-857-5306
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942566252 01 VA OPTIMA HEALTH PLAN
1942566252 01 VA HUMANA MEDICARE
540506332108 01 VA TRICARE
1942566252 01 VA VA PREMIER
1942566252 01 VA HEALTHKEEPERS
1942566252 01 VA CIGNA
1942566252 01 VA ANTHEM
1942566252 01 VA UNITED HEALTHCARE
1942566252 01 VA GATEWAY
1942566252 01 VA AETNA
1942566252 01 VA HEALTHKEEPERS PLUS
1942566252 01 VA UMWA
1942566252 05 VA
institution
Provider Business Practice Location Address Details
Address
3 Riverside Cir
City
Roanoke
State
Virginia
Zip
24016-4955
Phone Number
540-725-1226
Fax Number
540-857-5306
person
Provider Business Mailing Address Details
Address
3 Riverside Cir
City
Roanoke
State
Virginia
Zip
24016-4955
Phone Number
540-725-1226
Fax Number
540-857-5306
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
0103301175 (Virginia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0103301175 (Virginia)
Definition
Definition to come...
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