Provider Demographics
NPI:1427143239
Name:SIEGEL, CLIFFORD HOWARD (MD)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:HOWARD
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 E BELLEVIEW AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1622
Mailing Address - Country:US
Mailing Address - Phone:303-671-8700
Mailing Address - Fax:720-480-3822
Practice Address - Street 1:7000 E BELLEVIEW AVE STE 203
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1622
Practice Address - Country:US
Practice Address - Phone:303-671-8700
Practice Address - Fax:720-480-3822
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO220352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry