Abdulbage El Siddig

Physician Assistant · Prescott, AZ

Individual Active NPI

NPI number 1619725645

Practice location

1000 Willow Creek Rd Ste F
Prescott, AZ 86301-1645
Phone
(928) 227-0912

Open in Google Maps

NPI record

NPI
1619725645
Entity type
Individual (Type 1)
Enumeration date
May 6, 2024
Last updated
May 6, 2024
Certified
May 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X R81022 AZ

Mailing address

1222 E Malcolm X St
Lansing, MI 48912-1618
Phone
(517) 505-5162

About Abdulbage El Siddig

Abdulbage El Siddig is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1000 Willow Creek Rd Ste F, Prescott, AZ 86301-1645. The NPI number 1619725645 was assigned on May 6, 2024 and the record was last updated on May 6, 2024.

Abdulbage El Siddig lists a license in the registry: #R81022 (AZ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Abdulbage El Siddig?

The NPI number is 1619725645.

What is the phone number of Abdulbage El Siddig?

The phone number listed for the practice location is (928) 227-0912.

Where is Abdulbage El Siddig located?

1000 Willow Creek Rd Ste F, Prescott, AZ 86301-1645.

What is the taxonomy code for Abdulbage El Siddig?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Prescott

All Physician Assistant providers in Prescott, AZ →