Provider Demographics
NPI:1972588903
Name:SEIBLES, JOANN (MD)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:SEIBLES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:ACC 1600
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-1623
Mailing Address - Fax:916-734-5636
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:ACC 1600
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-1623
Practice Address - Fax:916-734-5636
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG66002207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA72711Medicare UPIN