Individual
DR. SETH DENNIS ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4856 E BASELINE RD STE 104, MESA, AZ 85206-4635
(480) 355-1361
Mailing address
4856 E BASELINE RD STE 104, MESA, AZ 85206-4635
(480) 355-1361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7931
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4206304-00
—
MN
01
—
647717
CHIROPRACTIC CARE
MN
01
—
76D46CO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/08/2006
Last updated
11/14/2012
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