| Doctor Name: | DR. NEIL HARRY SITENGA |
| NPI Number: | 1265421473 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29591 |
| Business Practice Address: | 18th Medcom Attn: Dccs-qm (credentials) Apo, AP - 96205-0054 |
| Business Phone Number: | 011-822-7916-6027 |
| Business Fax Number: | 011-822-7916-8110 |
| Mailing Address: | 121 General Hospital, Box 615 APO |
| State: | AP |
| Postal Code: | 96205-0054 |
| Phone Number: | 011-822-7917-8003 |
| Fax Number: | 011-822-7917-8110 |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 29591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |