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Individual

EMMANUEL SIAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0940
(602) 933-2424
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
36040
AZ
2080P0206X
Pediatric Gastroenterology Physician
E-2529
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140189001
AR
05
148768
AZ
01
370016472
RAILROAD MEDICARE
AR
Enumeration date
09/25/2006
Last updated
03/27/2018
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