MEDICARE: ROBERT W SEATON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	97140	NM

General Provider Information

NPI Number	:	1144217563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT W SEATON MD

Provider Business Mailing Address
First Line	:	4351 E LOHMAN AVE
Second Line	:	SUITE 301
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8259
Country	:	US
Telephone Number	:	575-532-8900
Fax Number	:	575-532-8963

Provider Business Practice Location Address
First Line	:	4351 E LOHMAN AVE
Second Line	:	SUITE 301
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8259
Country	:	US
Telephone Number	:	575-532-8900
Fax Number	:	575-532-8963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	04/27/2010

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