Provider Demographics
NPI:1508803644
Name:SEIGEL, RONALD E (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:SEIGEL
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8054
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:636-344-1170
Mailing Address - Fax:636-344-1138
Practice Address - Street 1:2 PROGRESS POINT CT
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2208
Practice Address - Country:US
Practice Address - Phone:636-344-1170
Practice Address - Fax:636-344-1138
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2015-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO067059367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO835140042Medicaid
IL$$$$$$$$$001Medicaid
IL$$$$$$$$$001Medicaid
MO835140042Medicaid