Individual
DR. JOHN ANTHONY SEIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
638 E. DUNN ST., IDAHO STATE UNIVERSITY, POCATELLO, ID 83201-8116
(208) 282-4037
Mailing address
367 W MCNABB RD, INKOM, ID 83245-1502
(208) 775-3183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1185
ID
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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