Provider Demographics
NPI:1821306465
Name:SEALE, WILLIAM (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:SEALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:BOYER
Other - Last Name:SEALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1340 MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1507
Mailing Address - Country:US
Mailing Address - Phone:303-444-9138
Mailing Address - Fax:
Practice Address - Street 1:1340 MEADOW AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1507
Practice Address - Country:US
Practice Address - Phone:303-444-9138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18248282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital