Organization
SEIVERT ORTHOPEDICS & SPROTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY SEIVERT D.O. (OWNER)
(602) 265-9900
Entity
Organization
Contact information
Practice address
4840 E INDIAN SCHOOL RD, SUITE 104, PHOENIX, AZ 85018-5500
(602) 265-9900
(602) 265-4130
Mailing address
4840 E INDIAN SCHOOL RD, SUITE 104, PHOENIX, AZ 85018-5500
(602) 265-9900
(602) 265-4130
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2109
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0424940
BCBS PARTICIPATING PROV #
AZ
Enumeration date
07/27/2006
Last updated
08/22/2020
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