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Organization

MARK SEBY MD PC

Active
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Organization

MARK SEBY MD PC

Active
Other names
AGASSIZ FAMILY MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK VINCENT SEBY M.D. (PHYSICIAN)
(928) 779-6169
Entity
Organization

Contact information

Practice address
417 N AGASSIZ ST, BLDG #1, FLAGSTAFF, AZ 86001-3282
(928) 779-6169
(928) 779-4200
Mailing address
417 N AGASSIZ ST, BLDG #1, FLAGSTAFF, AZ 86001-3282
(928) 779-6169
(928) 779-4200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ11476
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008588
RAILROAD MEDICARE
AZ
01
—
188857300
US DEPT OF LABOR
AZ
01
—
1Z8845
HEALTHNET AZ
AZ
05
—
23957601
—
AZ
01
—
3323257
CIGNA
AZ
01
—
5447372
AETNA
AZ
01
—
71412
MUTUAL OF OMAHA
AZ
01
—
87726
UNITED HEALTHCARE
AZ
01
—
AZ0021730
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
04/11/2008
Last updated
12/30/2010
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