Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 6191 | AZ |
NPI | 1073555231 |
---|---|
Provider Name | Dr. Stephen M Seltzer |
First Address | Tucson, AZ 85715-3829 |
Second Address | Tucson, AZ 85715-3829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 22/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
220179 | (05) | AZ |
D37622 | (02) |