Provider Demographics
NPI:1942207246
Name:SEATON, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SEATON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 E CAMELBACK RD
Mailing Address - Street 2:STE 180
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2322
Mailing Address - Country:US
Mailing Address - Phone:602-997-0484
Mailing Address - Fax:602-224-3315
Practice Address - Street 1:1500 S WHITE MOUNTAIN BLVD #201
Practice Address - Street 2:AKDHC
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-0000
Practice Address - Country:US
Practice Address - Phone:928-251-0386
Practice Address - Fax:928-251-0389
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2016-02-10
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Provider Licenses
StateLicense IDTaxonomies
AZ45134207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ626978Medicaid
AZ45134OtherAZ MEDICAL LICENSE
AZ147420Medicare PIN