Individual
FRED C SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 80033-6028
(303) 467-1400
(303) 467-1467
Mailing address
3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 80033-6028
(303) 467-1400
(303) 467-1467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40181
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74676750
—
CO
01
—
SE655222
ANTHEM BCBS OF CO
CO
Enumeration date
06/20/2006
Last updated
02/03/2015
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