Provider Demographics
NPI:1164460119
Name:SEITER, AARON KARL (DPM)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:KARL
Last Name:SEITER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ROOSTER RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-2108
Mailing Address - Country:US
Mailing Address - Phone:501-327-1995
Mailing Address - Fax:
Practice Address - Street 1:1105 DEER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5413
Practice Address - Country:US
Practice Address - Phone:501-336-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR233213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y840Medicare PIN
V09664Medicare UPIN