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NPI Code Detail

MEDICARE: MR. RONALD E SEIGEL CRNA

MEDICARE:  MR. RONALD E SEIGEL  CRNA
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
1367500000XCertified Registered Nurse Anesthetist067059MO

Other Identifiers

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

General Provider Information

NPI Number : 1508803644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONALD E SEIGEL CRNA
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line : C B 8054
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 636-344-1170
Fax Number : 636-344-1138
Provider Business Practice Location Address
First Line : 2 PROGRESS POINT CT
Second Line :
City : O FALLON
State : MO
Zip : 63368-2208
Country : US
Telephone Number : 636-344-1170
Fax Number : 636-344-1138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 10/28/2015

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Directions to “ MR. RONALD E SEIGEL CRNA” Practice Location

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