IndividualActive
Edmund Siebel
NPI 1962744946 · Sports Medicine (Family Medicine) Physician · Camp Lejeune, NC
Provider details
- NPI number
- 1962744946
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0102203967 (VA)
Practice location
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone: (910) 450-3079
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Registry dates
- Enumerated
- 2013-03-18
- Last updated
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.