Individual
MARVIN SANFORD SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9250 N. 3RD STREET, SUITE 3010, PHOENIX, AZ 85020-2425
(602) 861-1168
(602) 861-1763
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2004
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239071
—
AZ
Enumeration date
08/10/2005
Last updated
09/25/2013
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