Individual
MARK PHILLIPS SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1820 W MARYLAND AVE, SUITE 5, PHOENIX, AZ 85015
(602) 242-4100
(602) 242-7965
Mailing address
1820 W MARYLAND AVE, SUITE 5, PHOENIX, AZ 85015
(602) 242-4100
(602) 242-7965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2479
AZ
Other
Enumeration date
06/21/2006
Last updated
03/22/2012
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