Provider Demographics
NPI:1720259773
Name:SIEBLER, SAUL NONE
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:NONE
Last Name:SIEBLER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:SAUL
Other - Middle Name:NONE
Other - Last Name:SIEBLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PD IN PHARMACY
Mailing Address - Street 1:2803 W BEECH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-2055
Mailing Address - Country:US
Mailing Address - Phone:479-621-5466
Mailing Address - Fax:
Practice Address - Street 1:2803 W BEECH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-2055
Practice Address - Country:US
Practice Address - Phone:479-621-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8302183500000X
286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital
No183500000XPharmacy Service ProvidersPharmacist