Provider Demographics
NPI:1154345494
Name:SELTZER, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SELTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 564
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93464-0564
Mailing Address - Country:US
Mailing Address - Phone:805-618-1242
Mailing Address - Fax:805-259-4080
Practice Address - Street 1:650 ALAMO PINTADO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2266
Practice Address - Country:US
Practice Address - Phone:805-618-1242
Practice Address - Fax:805-259-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG16795207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39910Medicare UPIN