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Individual

JUSTIN SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
713 VOLVO PKWY STE 101, CHESAPEAKE, VA 23320-1614
(757) 842-4115
(757) 842-4116
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 842-4115
(757) 842-4116

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101279441
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2018
Last updated
09/05/2023
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