Individual
EDWARD JAMES SEIDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 N DESERT SUN CT, TUCSON, AZ 85750-0925
(520) 908-6038
Mailing address
6040 N DESERT SUN CT, TUCSON, AZ 85750-0925
(520) 908-6038
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
134016
NY
208800000X
Urology Physician
20355
MS
208800000X
Urology Physician
36460
AZ
208800000X
Urology Physician
47566
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151198
—
MT
05
—
02207509
—
MS
01
—
1043324
PREFERRED ONE
MN
01
—
132719
UCARE
MN
01
—
19-00018
MEDICA PRIMARY
MN
01
—
19-00624
MEDICA CHOICE
MN
05
—
216122200
—
MN
01
—
2344467
ARAZ
MN
05
—
34631600
—
WI
01
—
786566
FAIRVIEW
MN
01
—
HP50276
HEALTH PARTNERS
MN
01
—
P00735225
RAILROAD MEDICARE
MS
Enumeration date
09/13/2006
Last updated
03/02/2016
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