Provider Demographics
NPI:1124510268
Name:SEIFERT, SCOTT DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DANIEL
Last Name:SEIFERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:701 TECHNOLOGY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9531
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:17 ARENTZEN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1085
Practice Address - Country:US
Practice Address - Phone:724-483-3581
Practice Address - Fax:724-483-3483
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT018590207Q00000X
PAOS020284207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine