Individual
JAMES ALAN SIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
625 NORTH 13TH WEST, ST. JOHNS, AZ 85936
(928) 337-3705
(928) 337-3780
Mailing address
PO BOX 1018, GANADO, AZ 86505-1018
(928) 755-3515
(928) 337-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3318
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080193808
RAILROAD
AZ
05
—
436205
—
AZ
01
—
52486079
MEDICAID
NM
Enumeration date
11/22/2005
Last updated
07/08/2007
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