Individual
AMANDA SIEGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2503 5TH AVE S, FORT DODGE, IA 50501-5552
(515) 576-7113
(515) 576-5782
Mailing address
2503 5TH AVE S, FORT DODGE, IA 50501-5552
(515) 576-7113
(515) 576-5782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22316
IA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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