Individual
DR. JONATHAN D SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 SPRINGHILL BUSINESS PARK STE 201, MOBILE, AL 36608-1263
(251) 873-6192
(251) 891-6193
Mailing address
3601 SPRINGHILL BUSINESS PARK STE 201, MOBILE, AL 36608-1263
(251) 873-6192
(251) 873-6193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00025116
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051534478
MEDICARE PTAN
AL
05
—
051534478
—
AL
Enumeration date
06/08/2006
Last updated
10/13/2021
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