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Individual

DR. RICHARD W SIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 708-5658
Mailing address
1310 24TH AVE SOUTH, NASHVILLE, TN 37212
(615) 708-5658

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC005863
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005863
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
TN686
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102193508 0001
PA
05
1021935080003
PA
01
2057487
HIGHMARK
PA
01
25-1754199
DEVON
PA
01
732946
UPMC
PA
01
856681
HIGHMARK GROUP #
PA
01
9560163
CIGNA
PA
01
P00757254
RAILROAD MEDICARE
PA
Enumeration date
06/27/2008
Last updated
07/21/2022
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