MEDICARE: MINDY SIEGEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	31672	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396715876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY SIEGEL MD

Provider Business Mailing Address
First Line	:	175 S UNION BLVD STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-3126
Country	:	US
Telephone Number	:	719-365-1950
Fax Number	:	719-365-1951

Provider Business Practice Location Address
First Line	:	175 S UNION BLVD STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-3126
Country	:	US
Telephone Number	:	719-365-1950
Fax Number	:	719-365-1951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	03/10/2016

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Directions to “ MINDY SIEGEL MD” Practice Location

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