Joseph John Fidelie, A.T.,C

NPI #1053529156 in Yukon, Oklahoma

Provider Information

NPI Number
1053529156
Entity Type
Individual
Name
Joseph John Fidelie, A.T.,C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
A.T.,C
Enumeration Date
May 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
800 GARRISON LN
City
Yukon
ZIP Code
73099-6784
Phone
(405) 265-0426

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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