ABDULBAGE EL SIDDIG

PRESCOTT, AZ
NPI1619725645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  R81022)
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
ABDULBAGE EL SIDDIG
1000 WILLOW CREEK RD STE F
PRESCOTT, AZ 86301-1645
Phone number: 928-227-0912
Mailing Address
ABDULBAGE EL SIDDIG
1222 E MALCOLM X ST
LANSING, MI 48912-1618
Phone number: 517-505-5162