Individual
DR. CHUNG SIEDLECKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 TRUEMPER ST, LACKLAND A F B, TX 78236-5583
(210) 292-3613
(210) 292-3628
Mailing address
1515 TRUEMPER ST, LACKLAND AFB, TX 78236
(210) 292-3613
(210) 292-3628
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
MD 051665
PA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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