Individual
MARIO J SEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(208) 819-2183
(208) 209-6063
Mailing address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(208) 819-2183
(208) 209-6063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D024406
OR
207Q00000X
Family Medicine Physician
Primary
O-1919
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226957
—
OR
Enumeration date
05/12/2006
Last updated
04/23/2024
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