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GENE P SIEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
15634
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000082794
AL
01
051082794
BLUE CROSS
AL
01
051534827
BLUE CROSS
AL
01
220008478
RAILROAD MEDICARE
AL
01
E29376
VIVA
AL
Enumeration date
01/18/2007
Last updated
08/04/2011
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