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Individual

MICHAEL SEYMOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
PRB 9, SPINE ROAD DROP POINT 51, PRUDHOE BAY, AK 99734
(907) 659-5239
Mailing address
1505 FALLS LOOP, COLUMBIA FALLS, MT 59912-4513
(406) 755-0811

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1814
AK
363A00000X
Physician Assistant
382
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8442238
WA
Enumeration date
06/29/2007
Last updated
07/08/2025
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