Individual
JASON L SEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1500 DODSON AVE, STE 290, FORT SMITH, AR 72901-5182
(479) 573-7905
(479) 573-7906
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000814
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
239
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000814
STATE LICENSE
CT
05
—
165494717
—
AR
05
—
200116230A
—
OK
01
—
239
CERTIFICATE
AR
Enumeration date
12/19/2006
Last updated
03/24/2011
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