Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 21720 | AZ |
NPI | 1235133182 |
---|---|
Provider Name | David B Siegel |
First Address | Tucson, AZ 85712-1256 |
Second Address | Tucson, AZ 85712-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 23/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142505 | (05) | AZ |
42301 | HEALTH NET (01) | AZ |
98236 | PACIFICARE (01) | AZ |
AZ0820910 | BCBS (01) | AZ |
E10386 | (02) | AZ |
E10386 | UNITED HEALTH CARE (01) | AZ |