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NPI Code Detail

MEDICARE: THOMAS ANTHONY SECK D.O.

MEDICARE:   THOMAS ANTHONY SECK  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
1208000000XPediatrics PhysicianOS12042FL
2208000000XPediatrics Physician2002028904MO

General Provider Information

NPI Number : 1972706547
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS ANTHONY SECK D.O.
Provider Business Mailing Address
First Line : 205 NW RD MIZE RD
Second Line : SUITE 304
City : BLUE SPRINGS
State : MO
Zip : 64014-2515
Country : US
Telephone Number : 816-228-4770
Fax Number :
Provider Business Practice Location Address
First Line : 205 NW RD MIZE RD
Second Line : SUITE 304
City : BLUE SPRINGS
State : MO
Zip : 64014-2515
Country : US
Telephone Number : 816-228-4770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 02/04/2011

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Directions to “ THOMAS ANTHONY SECK D.O.” Practice Location

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