Individual
ALLAN M. SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4B319, SALT LAKE CITY, UT 84132-0002
(801) 581-8812
Mailing address
30 N 1900 E RM 4B319, SALT LAKE CITY, UT 84132-0002
(801) 581-8812
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11235975-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
4301099075
MI
Other
Enumeration date
06/17/2011
Last updated
11/18/2021
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