MEDICARE: BRIAN SEETO 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
1	207X00000X	Orthopaedic Surgery Physician	00000	AZ

General Provider Information

NPI Number	:	1255842027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN SEETO MD

Provider Business Mailing Address
First Line	:	18444 N 25TH AVE STE 310
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-1266
Country	:	US
Telephone Number	:	866-974-2673
Fax Number	:	866-939-2673

Provider Business Practice Location Address
First Line	:	9305 W THOMAS RD STE 305
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3366
Country	:	US
Telephone Number	:	866-974-2673
Fax Number	:	866-939-2673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2017
Last Update Date	:	10/19/2017

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Directions to “ BRIAN SEETO MD” Practice Location

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