Individual
TYREE LEE SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
708 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-4470
(479) 782-6131
Mailing address
PO BOX 402139, ATLANTA, GA 30384-2139
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3637
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056510A
—
OK
05
—
200056510B
—
OK
Enumeration date
12/04/2006
Last updated
07/30/2012
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