Healthcare Provider Details

I. General information

NPI: 1326223801
Provider Name (Legal Business Name): ARTHUR DAVID SIEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 LILLY ROAD NE
OLYMPIA WA
98506-5166
US

IV. Provider business mailing address

123 HUDSON LN SE APT 302
OLYMPIA WA
98513-1526
US

V. Phone/Fax

Practice location:
  • Phone: 360-491-9480
  • Fax:
Mailing address:
  • Phone: 203-984-5221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number046085
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD00049180
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: