Individual
JOHN R SIDDOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3075
(801) 475-3076
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3075
(801) 475-3076
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
185189-1205
UT
Other
Enumeration date
10/04/2005
Last updated
01/19/2017
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