Organization
RUSH ENT & ALLERGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D. SIEFKER M.D. (OWNER)
(205) 459-4778
Entity
Organization
Contact information
Practice address
4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2622
(601) 485-7550
(601) 485-7585
Mailing address
PO BOX 1467, MERIDIAN, MS 39302-1467
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA8012
RAILROAD MEDICARE
—
Enumeration date
05/01/2006
Last updated
08/22/2020
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