Provider Demographics
NPI:1427030188
Name:OESCH, SETH D (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:D
Last Name:OESCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8620 N 22ND AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:PHEONIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021
Mailing Address - Country:US
Mailing Address - Phone:602-674-6501
Mailing Address - Fax:602-674-6512
Practice Address - Street 1:8573 E PRINCESS DR.
Practice Address - Street 2:STE 219
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-515-3507
Practice Address - Fax:480-515-3925
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2008-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ27907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ521775Medicaid
AZ521775Medicaid
AZZ71619Medicare PIN
AZZ118937Medicare PIN