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Individual

MR. GARY LEWIS SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1746 COLE BLVD, SUITE 320, LAKEWOOD, CO 80401-3208
(303) 234-1067
(303) 232-2967
Mailing address
1746 COLE BLVD, SUITE 320, LAKEWOOD, CO 80401-3208
(303) 234-1067
(303) 232-2967

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
16503
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01165034
CO
Enumeration date
07/28/2005
Last updated
04/28/2008
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