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Individual

JOHN D SEIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601
(541) 274-6175
(541) 274-6739
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6175
(541) 274-6739

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11338
NH
207P00000X
Emergency Medicine Physician
Primary
MD191862
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y003173NH03
ATHEM BCBS
NH
05
30203571
NH
01
H09471
HPHC
NH
Enumeration date
06/14/2006
Last updated
06/24/2019
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