Individual
DR. STANLEY EDWARD SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 EAST BROADWAY, JACKSON, WY 83001
(307) 733-9141
(307) 733-9294
Mailing address
PO BOX 4156, JACKSON, WY 83001-4156
(307) 733-9141
(307) 733-9294
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A3672
WY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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