Bruce Joseph Siedlecki, M.D. Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Mtn. Home, ID
- NPI
- 1285628156
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- MD25309 (TN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-07
- Last updated
- 2007-07-08
Practice location
Mtn.Home Aif Force Base, Mdos
Mtn. Home, ID 83647
(208) 828-7567