Individual
TODD DAVID SEAMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
173 N 400 W STE C-11, OREM, UT 84057-1909
(801) 802-7373
(801) 802-7733
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
358971-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358971-1206
UTAH STATE LICENSE
UT
Enumeration date
02/27/2007
Last updated
11/27/2023
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