MEDICARE: DR. JOEL SELTZER 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	2084P0800X	Psychiatry Physician	22301	AZ

General Provider Information

NPI Number	:	1619979093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL SELTZER MD

Provider Business Mailing Address
First Line	:	11900 N LA CANADA DR UNIT 69862
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-4076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11900 N LA CANADA DR UNIT 69862
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-4076
Country	:	US
Telephone Number	:	239-888-1447
Fax Number	:

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/08/2025

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