Organization
SOUTHWEST ACCIDENT & INJURY MEDICAL CENTER ,II LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P SIEGEL D.O. (PRESIDENT)
(602) 242-4100
Entity
Organization
Contact information
Practice address
1820 W MARYLAND AVE, SUITE 5, PHOENIX, AZ 85015-1740
(602) 242-4100
(602) 242-7965
Mailing address
1820 W MARYLAND AVE, SUITE 5, PHOENIX, AZ 85015-1740
(602) 242-4100
(602) 242-7965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2479
AZ
Other
Enumeration date
09/20/2006
Last updated
03/13/2009
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