Individual
SIDNEY SEMRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4566 E INVERNESS AVE, #202, MESA, AZ 85206-4634
(480) 464-2101
(480) 854-4913
Mailing address
7233 E BASELINE RD, STE 101, MESA, AZ 85209-5001
(480) 464-2101
(480) 854-4913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410986
—
AZ
Enumeration date
06/11/2006
Last updated
09/21/2016
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