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Individual
DR. JOHN DELMAR SIDDENS
Active
Individual
DR. JOHN DELMAR SIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
291
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180018447
MEDICARE RAILROAD
SC
01
—
2556148003
CIGNA PROVIDER NUMBER
SC
01
—
4232647
AETNA PROVIDER NUMBER
SC
05
—
TL0727
—
SC
Enumeration date
01/25/2006
Last updated
05/12/2021
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