Individual provider · Type 1 NPI

John Barry Siebenlist, MD

Procedural Dermatology Physician · San Luis Obispo, CA

NPI number 1164476909 Active

Practice location

1551 Bishop St, Suite 220
San Luis Obispo, CA 93401-4635

Call (805) 541-0668 Map

Fax (805) 541-8213

Mailing address

2285 Corporate Cir, Ste 200
Henderson, NV 89074-7759

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XA61826 (CA)
MOHS-Micrographic Surgery Physician 207ND0101XA61826 (CA)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1164476909

John Barry Siebenlist, MD's National Provider Identifier is 1164476909, issued on May 19, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 16, 2016.