Individual
DR. JOHN M SEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 N 2ND AVE, SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES, SANDPOINT, ID 83864-1565
(208) 265-2242
Mailing address
PO BOX 2160, SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES, SANDPOINT, ID 83864-0908
(208) 265-2242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-12114
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00717744
—
NY
01
—
100803DL
PREFERRED CARE
NY
01
—
5260652
AETNA
NY
01
—
P010132608
EXCELLUS BC/BS ROCHESTER
NY
Enumeration date
10/19/2006
Last updated
01/08/2015
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