Individual
MATTHEW R SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
513W RIGBY ROAD, FARMINGTON, UT 84025
(801) 447-5400
Mailing address
513W RIGBY ROAD, FARMINGTON, UT 84025
(801) 447-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO25047
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22484
—
OR
01
—
A055
TRICARE
OR
01
—
P00150913
RAILROAD MEDICARE
OR
Enumeration date
07/19/2006
Last updated
07/10/2008
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