Individual
ROXANNE CATHERINE SIEGRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 RED LADY AVENUE, SUITE 142, CRESTED BUTTE, CO 81224
(970) 349-5577
Mailing address
PO BOX 639, CRESTED BUTTE, CO 81224-0639
(970) 349-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202159
CO
122300000X
Dentist
3852
AR
Other
Enumeration date
11/21/2011
Last updated
08/15/2019
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