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NPI Code Detail

MEDICARE: DR. GREGORY SEITZ

MEDICARE:  DR. GREGORY  SEITZ
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
1207N00000XDermatology Physician8582AWY
2207R00000XInternal Medicine PhysicianLL17128OR

General Provider Information

NPI Number : 1962676353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY SEITZ
Provider Business Mailing Address
First Line : 2112 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3830
Country : US
Telephone Number : 307-635-8299
Fax Number :
Provider Business Practice Location Address
First Line : 2112 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001
Country : US
Telephone Number : 307-635-8299
Fax Number : 307-635-6984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 12/12/2025

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Directions to “ DR. GREGORY SEITZ ” Practice Location

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