Individual
MR. JEROME SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
(541) 747-9870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA199016
OR
Other
Enumeration date
05/04/2021
Last updated
12/31/2024
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