MARK LEON SIEBE

FORT CAMPBELL, KY
NPI1053801886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  3649)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2018-05-17
Last Update Date2020-08-28
Business Address
MARK LEON SIEBE PA-C
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8727
Mailing Address
MARK LEON SIEBE PA-C
1046 WESTON CT
BRENTWOOD, TN 37027-2404
Phone number: 615-630-2250
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