Provider Demographics
NPI:1932733086
Name:SELBY, SETH (PA)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:SELBY
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1805 SHEA CENTER DR STE 301
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2277
Mailing Address - Country:US
Mailing Address - Phone:303-814-0505
Mailing Address - Fax:303-814-6491
Practice Address - Street 1:7280 LAGAE RD STE I
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-9454
Practice Address - Country:US
Practice Address - Phone:303-814-0505
Practice Address - Fax:303-814-6491
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2021-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0006899363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical