Individual
SEAMUS M SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 A STREET, SIDDALL MEDICAL SERVICES AT CLEAR AFS, CLEAR AFS, AK 99704
(907) 585-6415
Mailing address
328 HILLSIDE DR, FAIRBANKS, AK 99712-1643
(907) 750-5510
(907) 585-6244
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
T2010
AK
363AM0700X
Medical Physician Assistant
Primary
T2010
AK
Other
Enumeration date
02/12/2009
Last updated
08/01/2014
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