Provider Demographics
NPI:1578181822
Name:SEITZ MEDICAL PLLC
Entity Type:Organization
Organization Name:SEITZ MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:480-694-6704
Mailing Address - Street 1:2424 E IVY ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-3513
Mailing Address - Country:US
Mailing Address - Phone:480-694-6704
Mailing Address - Fax:
Practice Address - Street 1:2424 E IVY ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-3513
Practice Address - Country:US
Practice Address - Phone:480-694-6704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care