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Individual

JACQUELINE SIEGEL-BARTELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
124 W THOMAS RD, PHOENIX, AZ 85013-4405
(602) 406-5477
(602) 798-9988
Mailing address
634 PIER AVE, SANTA MONICA, CA 90405-4557
(310) 383-5498

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
37842
AZ
208000000X
Pediatrics Physician
Primary
37842
AZ

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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