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Individual
CHARLES LEEMAN DENNIS SIFTON
Active
Individual
CHARLES LEEMAN DENNIS SIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057273
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100065402
MEDICAID KILN CREEK OFFIC
—
01
—
136888
ANTHEM - HIDENWOOD OFFICE
—
01
—
136927
ANTHEM - KILN CREEK OFFIC
—
Enumeration date
10/31/2005
Last updated
07/13/2026
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