Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1483 | TX |
N | 222Z00000X | Podiatrist | 1483 | TX |
Y | 224P00000X | Prosthetist | 1483 | TX |
NPI | 1235632654 |
---|---|
Provider Name | Seth Eric Mclarty |
First Address | Anchorage, AK 99508-4603 |
Second Address | Anchorage, AK 99508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2018 |
Last Update Date | 26/07/2018 |