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Individual

SETH LOUIS TOBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19450 DEERFIELD AVENUE, SUITE 200, LEESBURG, VA 20176
(703) 723-7337
(703) 723-6848
Mailing address
4130 PARKLAKE AVE, SUITE 400, RALEIGH, NC 27612-4461
(919) 786-8318

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD070587L
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
221122
NC

Other

Enumeration date
07/18/2005
Last updated
03/07/2023
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