Provider Demographics
NPI:1962660407
Name:SEYMOUR, MICHAEL EDWARD JR (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:SEYMOUR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 223897
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-2897
Mailing Address - Country:US
Mailing Address - Phone:720-501-5000
Mailing Address - Fax:303-458-3997
Practice Address - Street 1:11600 W 2ND PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1527
Practice Address - Country:US
Practice Address - Phone:720-321-0000
Practice Address - Fax:720-321-1621
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2017-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.00537172085R0202X
TXN40772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology