Most Relevant Information
Provider Data
| NPI Number: | 1003397084 |
| Provider Name: | JAIME JOSEPH SIEGMANN |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
138 S MAIN ST
AFTON
OK
74331
Practice Location Phone/Fax
| Phone: | 9182574244 |
| Fax: |
Provider Mailing Location
138 S MAIN ST
AFTON
OK
74331
Provider Mailing Phone/Fax
| Phone: | 9182574244 |
| Fax: |