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NPI Code Detail

MEDICARE: DR. ANDREW JACKSON SELLERS MD

MEDICARE:  DR. ANDREW JACKSON SELLERS  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
12085R0202XDiagnostic Radiology Physician209761MA
22085R0202XDiagnostic Radiology Physician57223TN
32085R0202XDiagnostic Radiology Physician229371AK
42085R0202XDiagnostic Radiology PhysicianME136121FL
52085R0202XDiagnostic Radiology Physician0101241822VA

General Provider Information

NPI Number : 1073584900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JACKSON SELLERS MD
Provider Business Mailing Address
First Line : 4040 E CAMELBACK RD STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-8350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4473 N SADDLE DR
Second Line :
City : BEVERLY HILLS
State : FL
Zip : 34465-4855
Country : US
Telephone Number : 855-687-7237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 02/25/2026

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Directions to “ DR. ANDREW JACKSON SELLERS MD” Practice Location

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