MEDICARE: CARL SEON

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	207X00000X	Orthopaedic Surgery Physician	MD071982L	PA

General Provider Information

NPI Number	:	1386611523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL SEON

Provider Business Mailing Address
First Line	:	321 ARCH ST STE 101
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 ARCH ST STE 101
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-3214
Country	:	US
Telephone Number	:	814-333-7109
Fax Number	:	814-333-7108

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	12/07/2023

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Directions to “ CARL SEON ” Practice Location

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