Individual
ELIZABETH MARYA SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2529 BROAD AVE, ALTOONA, PA 16601-1912
(814) 944-3569
(814) 944-8201
Mailing address
2529 BROAD AVE, ALTOONA, PA 16601-1912
(814) 944-3569
(814) 944-8201
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD418861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001630558
HIGHMARK
—
05
—
0019504360002
—
PA
01
—
P00173700
RAILROAD MEDICARE
—
Enumeration date
07/03/2005
Last updated
03/18/2013
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