Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS016817 | PA |
N | 207VG0400X | Gynecologist | DO.000126 | LA |
N | 207VG0400X | Gynecologist | OS9903 | FL |
NPI | 1316044605 |
---|---|
Provider Name | Dr. Stephen D Seymour |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-2920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 20/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1036722 | (05) | LA |
AC882 | MEDICARE GROUP PTAN (01) | |
I73573 | (02) | FL |
P00474398 | RAILROAD MEDICARE (01) | LA |