MEDICARE: DR. JAMES DONALD SEAVER JR. 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	C41887	CA

General Provider Information

NPI Number	:	1639313679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DONALD SEAVER JR. MD

Provider Business Mailing Address
First Line	:	650 5TH ST
Second Line	:	#309
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-1536
Country	:	US
Telephone Number	:	415-995-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 5TH ST
Second Line	:	#309
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-1536
Country	:	US
Telephone Number	:	415-995-1707
Fax Number	:

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

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	12/15/2021

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