| Doctor Name: | DR. SETH D MADELL |
| NPI Number: | 1881719094 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 95-289 |
| Business Practice Address: | 142 S Water St Las Cruces, NM - 880011208 |
| Business Phone Number: | 5055265924 |
| Business Fax Number: | 5055265942 |
| Mailing Address: | 142 S. Water St., LAS CRUCES |
| State: | NM |
| Postal Code: | 880011208 |
| Phone Number: | 5055265924 |
| Fax Number: | 5055265942 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 95-289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |