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Individual
DOUGLAS RYAN SIDELL
Active
Individual
DOUGLAS RYAN SIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A107296
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
A107296
CA
Other
Enumeration date
10/07/2008
Last updated
04/29/2024
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