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Individual

DR. ROGER L SIDDOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
368 E RIVERSIDE DR, SUITE A, ST GEORGE, UT 84790-6896
(435) 673-1149
(435) 673-1182
Mailing address
6360 S 3000 E, #220, SALT LAKE CITY, UT 84121-6923

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19338
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170936
AZ
Enumeration date
01/18/2006
Last updated
06/09/2015
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