Individual
EDWARD R SETSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 CHANNING WAY STE A205, IDAHO FALLS, ID 83404-7586
(208) 535-4580
(208) 535-4520
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34713
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M12737
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000023797
BCBS MOUNTAIN STATE
WV
05
—
0129142000
—
WV
05
—
0289272
—
OH
01
—
030028200
BLACK LUNG
WV
01
—
550357050
UNITED MINE WORKERS
WV
05
—
64942469
—
KY
Enumeration date
03/23/2006
Last updated
07/21/2022
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