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Individual

DAVID GENE SEIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
Mailing address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-4316

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT.003963
OH
363AS0400X
Surgical Physician Assistant
Primary
50.006064RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010681000
WV
05
352265
OH
Enumeration date
09/09/2015
Last updated
12/05/2022
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