Individual
JAMES J SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 A ST, CLEAR AFS, CLEAR, AK 99704-5360
(907) 585-6415
(907) 585-6244
Mailing address
PO BOX 70851, FAIRBANKS, AK 99707-0851
(907) 585-6415
(907) 585-6244
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
036
AK
Other
Enumeration date
09/17/2006
Last updated
01/23/2012
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