Provider Demographics
NPI:1851641336
Name:DON SETLIFF MD PA
Entity Type:Organization
Organization Name:DON SETLIFF MD PA
Other - Org Name:DON SETLIFF MD INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SETLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-353-4600
Mailing Address - Street 1:540 S. 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243
Mailing Address - Country:US
Mailing Address - Phone:760-427-0500
Mailing Address - Fax:
Practice Address - Street 1:540 S. 8TH STREET
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243
Practice Address - Country:US
Practice Address - Phone:760-353-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34839207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty