Individual provider · Type 1 NPI
Seamus M. Siddall, PA-C
Medical Physician Assistant · Clear Afs, AK
NPI number
1376782458
Active
Practice location
200 A Street, Siddall Medical Services At Clear Afs
Clear Afs, AK 99704
Mailing address
328 Hillside Dr
Fairbanks, AK 99712-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | T2010 (AK) |
| Medical Physician Assistant Primary | 363AM0700X | T2010 (AK) |
Medical Physician Assistant: Definition to come...
About NPI 1376782458
Seamus M. Siddall, PA-C's National Provider Identifier is 1376782458, issued on Feb 12, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clear Afs, AK. The record was last updated on Aug 1, 2014.