Doug Ryan Sidell M.D.

NPI 1629229836 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1629229836
Gender Male
Enumeration Date 10/07/2008
Last Updated 05/09/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
137 ENTRADA DRIVE #4
SANTA MONICA CA, 90402, US
Phone (202) 316-4433
Fax
Business Location
137 ENTRADA DRIVE #4
SANTA MONICA CA, 90402, US
Phone (202) 316-4433
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Doug Ryan Sidell M.D. NPI is 1629229836, taxonomy code is 390200000X Doug Ryan Sidell M.D. physically located at 137 Entrada Drive #4, Santa Monica CA, 90402. NPI Number Doug Ryan Sidell M.D. has the Individual type.

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1629229836 NPI number is provided on an as is basis without warranty of any kind. 1629229836 is maintained by the National Plan & Provider Enumeration System. The contents of Doug Ryan Sidell M.D. are for informational purposes only.