Individual
MARY ANNETTE SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
DR.0028267
CO
208600000X
Surgery Physician
Primary
DR.0028267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282672
—
CO
Enumeration date
12/30/2005
Last updated
10/25/2023
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