Provider Demographics
NPI:1700853918
Name:SEIBLY, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:SEIBLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30708 E PINK HILL RD
Mailing Address - Street 2:
Mailing Address - City:GRAIN VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64029-9265
Mailing Address - Country:US
Mailing Address - Phone:816-443-2259
Mailing Address - Fax:816-443-2273
Practice Address - Street 1:30708 E PINK HILL RD
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-9265
Practice Address - Country:US
Practice Address - Phone:816-443-2259
Practice Address - Fax:816-443-2273
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO1166102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA44697Medicare UPIN