Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10044535 | TX |
N | 111NI0900X | Internist | BP10044535 | TX |
Y | 207RG0100X | Gastroenterologist | 0060170 | CO |
NPI | 1003163486 |
---|---|
Provider Name | Dr. Matthew Seto |
First Address | Louisville, CO 80027-3094 |
Second Address | Lakewood, CO 80401-3141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2012 |
Last Update Date | 06/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9000160213 | (05) | CO |