Individual
CRAIG O SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1134 N MAIN ST STE 2500, BELLEFONTAINE, OH 43311-2382
(937) 592-9221
(937) 292-5033
Mailing address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-9221
(937) 292-5033
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.146036
OH
207RC0000X
Cardiovascular Disease Physician
G8418
TX
207RI0011X
Interventional Cardiology Physician
Primary
35.146036
OH
207RI0011X
Interventional Cardiology Physician
G8418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497372
—
OH
Enumeration date
04/13/2006
Last updated
08/22/2024
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