Healthcare Provider Details

I. General information

NPI: 1801095211
Provider Name (Legal Business Name): KARINA M SEIDL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 06/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 S DOBSON RD STE 101
CHANDLER AZ
85224-5603
US

IV. Provider business mailing address

485 S DOBSON RD STE 101
CHANDLER AZ
85224-5603
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-2221
  • Fax: 480-728-2200
Mailing address:
  • Phone: 480-728-2221
  • Fax: 480-728-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: