Provider Demographics
NPI:1669563284
Name:SEIFFERT, WILLIAM ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:SEIFFERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4311 E LOHMAN AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8255
Mailing Address - Country:US
Mailing Address - Phone:575-556-6625
Mailing Address - Fax:575-556-7495
Practice Address - Street 1:4311 E LOHMAN AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8255
Practice Address - Country:US
Practice Address - Phone:575-556-6625
Practice Address - Fax:575-556-7495
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2009-0068207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM75182262Medicaid
NMNM301918Medicare PIN
NE266012SEMedicare ID - Type Unspecified
NEB67667Medicare UPIN