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NPI Code Detail

MEDICARE: LARRY E SEALS D.O.

MEDICARE:   LARRY E SEALS  D.O.
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
1207V00000XObstetrics & Gynecology Physician05-31674KS

General Provider Information

NPI Number : 1639123805
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY E SEALS D.O.
Provider Business Mailing Address
First Line : 3011 N MICHIGAN ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-2546
Country : US
Telephone Number : 620-231-9873
Fax Number : 620-240-5062
Provider Business Practice Location Address
First Line : 401 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8797
Country : US
Telephone Number : 620-223-8040
Fax Number : 620-223-8001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/17/2019

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Directions to “ LARRY E SEALS D.O.” Practice Location

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