Individual
DR. SAMUEL K SETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21911 76TH AVE W, SUITE 101, EDMONDS, WA 98026-7903
(425) 774-7723
(425) 778-2788
Mailing address
21911 76TH AVE W, SUITE 101, EDMONDS, WA 98026-7903
(425) 774-7723
(425) 778-2788
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00032689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019394001
DMERC PROVIDER NUMBER
WA
01
—
101465
L&I PROVIDER NUMBER
WA
05
—
1094564
—
WA
01
—
SE5264
REGENCE PROVIDER NUMBER
WA
Enumeration date
10/17/2006
Last updated
11/14/2023
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