Individual provider · Type 1 NPI
James J. Siddall, PA-C
Medical Physician Assistant · Clear, AK
NPI number
1366549032
Active
Practice location
200 A St, Clear Afs
Clear, AK 99704-5360
Fax (907) 585-6244
Mailing address
PO Box 70851
Fairbanks, AK 99707-0851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 036 (AK) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1366549032
James J. Siddall, PA-C's National Provider Identifier is 1366549032, issued on Sep 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clear, AK. The record was last updated on Jan 23, 2012.