Provider Demographics
NPI:1417018144
Name:SELTZER, S. DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:S.
Middle Name:DANIEL
Last Name:SELTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 S 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3943
Mailing Address - Country:US
Mailing Address - Phone:509-966-9592
Mailing Address - Fax:509-966-8845
Practice Address - Street 1:622 S 36TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3943
Practice Address - Country:US
Practice Address - Phone:509-966-9592
Practice Address - Fax:509-966-8845
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045752207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM91-301OtherSTATE MEDICAL LICENSE
LA14361OtherSTATE MEDICAL LICENSE
WAMD00045752OtherSTATE MEDICAL LICENSE
WAMD00045752OtherSTATE MEDICAL LICENSE
WAMD00045752OtherSTATE MEDICAL LICENSE