Individual
DR. SCOTT ALAN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1535 SLATE CREEK RD, GRUNDY, VA 24614-6974
(276) 935-1000
(276) 935-1302
Mailing address
3165 BLACKLOG RD, INEZ, KY 41224-9113
(606) 534-3435
(606) 534-3436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207660
VA
207Q00000X
Family Medicine Physician
04666
KY
207Q00000X
Family Medicine Physician
1939
WV
Other
Enumeration date
05/17/2006
Last updated
04/30/2024
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