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NPI Code Detail

MEDICARE: GREGORY J SEILER CRNA

MEDICARE: GREGORY J SEILER CRNA
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
1367500000XCertified Registered Nurse Anesthetist71879KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145129OTHERKSBCBS

General Provider Information

NPI Number : 1619950110
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY J SEILER CRNA
Provider Business Mailing Address
First Line : 200 S MAIN ST
Second Line :
City : RUSSELL
State : KS
Zip : 67665-2920
Country : US
Telephone Number : 785-483-3131
Fax Number : 785-483-4859
Provider Business Practice Location Address
First Line : 200 S MAIN ST
Second Line :
City : RUSSELL
State : KS
Zip : 67665-2920
Country : US
Telephone Number : 785-483-3131
Fax Number : 785-483-4859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/08/2007

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