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NPI Code Detail

MEDICARE: TODD CHARLES SEYMOUR MD

MEDICARE: TODD CHARLES SEYMOUR 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
1207L00000XAnesthesiology Physician24608OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710914015
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD CHARLES SEYMOUR MD
Provider Business Mailing Address
First Line : 3340 NORTH CENTER ST
Second Line : #800
City : LEHI
State : UT
Zip : 84043-7406
Country : US
Telephone Number : 801-990-1911
Fax Number : 541-773-2027
Provider Business Practice Location Address
First Line : 5121 S COTTONWOOD STREET
Second Line : INTERMOUNTAIN MEDICAL CENTER
City : MURRAY
State : UT
Zip : 84157
Country : US
Telephone Number : 801-507-5248
Fax Number : 541-773-2027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 12/01/2011

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