Organization
FAY E. SEPPALA MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAY E SEPPALA MD (OWNER)
(503) 769-3785
Entity
Organization
Contact information
Practice address
1371 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-3785
(503) 769-3741
Mailing address
1371 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-3785
(503) 769-3741
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD26361
OR
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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