Individual
DR. MARK V SEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 N AGASSIZ ST, BLDG 1, FLAGSTAFF, AZ 86001-3206
(928) 779-6169
(928) 779-4200
Mailing address
417 N AGASSIZ ST, BLDG 1, FLAGSTAFF, AZ 86001-3206
(928) 779-6169
(928) 779-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ZA11476
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008588
RAILROAD MEDICARE
AZ
01
—
1003440
CIGNA
AZ
01
—
1Z8845
HEALTH NET AZ
AZ
05
—
23957601
—
AZ
01
—
5447372
AETNA
AZ
01
—
71412
MUTUAL OF OMAHA
AZ
01
—
87726
UNITED HEALTH CARE
AZ
01
—
AZ0021730
BCBS AZ
AZ
01
—
Z63389
MEDICARE GROUP
AZ
Enumeration date
07/07/2005
Last updated
12/30/2010
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