IndividualActive
James Siddall, PA-C
NPI 1366549032 · Medical Physician Assistant · Clear, AK
Provider details
- NPI number
- 1366549032
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 036 (AK)
Practice location
200 a St
Clear Afs
Clear, AK 99704-5360
Phone: (907) 585-6415
Fax: (907) 585-6244
Mailing address
Po Box 70851
Fairbanks, AK 99707-0851
Registry dates
- Enumerated
- 2006-09-17
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.