# ELISABETH SIEGLER MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831863257
- **Authorized official:** ELISABETH SIEGLER MD (OWNER)
- **Authorized official phone:** (831) 247-5000

## Contact information

- **Practice address:** 223 CLINTON RD STE 204, JACKSON, CA 95642-2680
- **Practice address phone:** (209) 223-5938
- **Practice address fax:** (209) 257-1599
- **Mailing address:** PO BOX 34120, RENO, NV 89533-4120
- **Mailing address phone:** (775) 747-5050
- **Mailing address fax:** (775) 747-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2021
- **Last updated:** 08/09/2021