Individual
DR. MARK SIEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, RN, PHNA-BC
Contact information
Practice address
HWY 160 & NAVAJO ROUTE 35, TEEC NOS POS, AZ 86514-9604
(928) 656-5308
Mailing address
HC 61 BOX 3054, TEEC NOS POS, AZ 86514-9604
(928) 656-5308
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
338113
AZ
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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