Individual
JAMIE M SIEGFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 728-7000
Mailing address
360 RICHARD HARRISON WAY, MORGANTOWN, WV 26501-1119
(814) 661-5764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061551
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173754
—
PA
Enumeration date
06/18/2020
Last updated
10/11/2022
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