Individual
JOHN SIERRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
39217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-54679
UNITED HEALTHCARE
NC
01
—
16-54680
UNITED HEALTHCARE
NC
01
—
16-54681
UNITED HEALTHCARE
NC
01
—
63139
MEDCOST
NC
01
—
63169
MEDCOST
NC
01
—
63201
MEDCOST
NC
01
—
76144
BLUECROSS BLUESHIELD
NC
05
—
8976144
—
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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