Individual
NATASHA SIODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(253) 720-7626
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R78740
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
07/01/2021
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