Doctor Name: | MR. JERRY LYNN SEYDEL |
NPI Number: | 1912991233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A35491 |
Business Practice Address: | 3801 Union Ave Bakersfield, CA - 933052400 |
Business Phone Number: | 6618619000 |
Business Fax Number: | 6618619132 |
Mailing Address: | 3801 Union Ave, BAKERSFIELD |
State: | CA |
Postal Code: | 933052400 |
Phone Number: | 6618619000 |
Fax Number: | 6618619132 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A35491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |