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Individual

DR. FREDRIC A SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9260 W SUNSET RD STE 100, LAS VEGAS, NV 89148-4903
(702) 534-5464
(702) 534-5465
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3436
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3127
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500484 GROUP
NV
05
1801048814
NV
Enumeration date
10/21/2008
Last updated
10/26/2022
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