Doctor Name: | DR. KWIE-HOA SIEM |
NPI Number: | 1740271931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD 4123 |
Business Practice Address: | 5955 Zeamer Avenue 3rd Medical Group Elmendorf Afb, AK - 995063700 |
Business Phone Number: | 9075802741 |
Business Fax Number: | |
Mailing Address: | 3240 Legacy Dr, ANCHORAGE |
State: | AK |
Postal Code: | 995162764 |
Phone Number: | 9073456784 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD 4123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |