Individual
DR. JOHN J SEABERG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 E BROADWAY, STE 260, COLUMBIA, MO 65201-8020
(573) 443-5500
(573) 442-1540
Mailing address
1601 E BROADWAY, STE 260, COLUMBIA, MO 65201-8020
(573) 443-5500
(573) 442-1540
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MDR5C69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007950
BLUE CROSS & BLUE SHIELD
MO
01
—
180560
BLUE CROSS & BLUE SHIELD
MO
01
—
227685
HEALTHLINK
MO
Enumeration date
11/21/2006
Last updated
06/09/2009
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