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NPI Code Detail

MEDICARE: JIM SEYMOUR MD

MEDICARE:   JIM  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
12084P0800XPsychiatry Physician25853AZ

General Provider Information

NPI Number : 1003010653
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIM SEYMOUR MD
Provider Business Mailing Address
First Line : 6872 N MACHIAVELLI WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4110 W SWEETWATER DR
Second Line :
City : TUCSON
State : AZ
Zip : 85745-9348
Country : US
Telephone Number : 520-743-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ JIM SEYMOUR MD” Practice Location

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