Healthcare Provider Details

I. General information

NPI: 1487023560
Provider Name (Legal Business Name): CHRISTOPHER LEE SEITZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31180 ROAD 72
VISALIA CA
93291-9672
US

IV. Provider business mailing address

31180 ROAD 72
VISALIA CA
93291-9672
US

V. Phone/Fax

Practice location:
  • Phone: 559-651-2301
  • Fax:
Mailing address:
  • Phone: 559-651-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number52825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: