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Individual

MARK J SEIFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9250 N 3RD STREET, SUITE 3010, PHOENIX, AZ 85020-2425
(602) 861-1168
(602) 861-1763
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
33429
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
33429
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363599
AZ
01
P00162117
RAILROAD MEDICARE
AZ
01
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
08/03/2005
Last updated
09/13/2013
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