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SEAMUS M SIDDALL PA-C

Emergency Medical Services >> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1376782458

Individual Registrant:
 SEAMUS M SIDDALL PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
200 A STREET SIDDALL MEDICAL SERVICES AT CLEAR AFS CLEAR AFS, AK 99704 US
Tel: 907-585-6415  Fax: --

Contact information for business:
328 HILLSIDE DR  FAIRBANKS, AK 99712-1643 US
Tel: 907-750-5510  Fax: 907-585-6244

Registration Information:
NPI: 1376782458
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207PE0004XAllopathic & Osteopathic Physicians
Emergency Medicine
Emergency Medical Services
AKT2010
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
AKT2010

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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