Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdulbage El Siddig

Individual provider Physician Assistant · NPI 1619725645

Abdulbage El Siddig is a Physician Assistant in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1000 Willow Creek Rd Ste F
Prescott, AZ 86301-1645
Phone: (928) 227-0912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence R81022 (AZ)

Record details

NPI number1619725645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address1222 E Malcolm X St, Lansing, MI 48912-1618

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