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Individual

JAMES EDWARD SIGLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 ROYAL BIRKDALE DR, SUITE A, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-5695
Mailing address
107 ROYAL BIRKDALE DR, SUITE A, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-5695

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35058365S
OH
207Q00000X
Family Medicine Physician
Primary
35058365S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0742709
OH
01
942460636208
CARESOURCE
OH
01
P00288744
MEDICARE RR-GA
OH
Enumeration date
06/12/2006
Last updated
02/13/2012
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