Doctor Name: | DR. TERRELL LEE SELLERS |
NPI Number: | 1033373865 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 293281-1205 |
Business Practice Address: | 727 E. 1100 S. Mapleton, UT - 84664 |
Business Phone Number: | 8014899871 |
Business Fax Number: | 8014899780 |
Mailing Address: | 1594 S. 705 E., OREM |
State: | UT |
Postal Code: | 84297 |
Phone Number: | 8013193432 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 293281-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |