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Seth Sturdivant, MD

Family Medicine in San Angelo, TX. Individual provider (NPI-1).

NPI number1124400544
StatusActive
Last updated in NPPESAug 13, 2018

Details

NPI
1124400544
Entity type
Individual (NPI-1)
Name
Seth Sturdivant
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 22, 2015
Last updated
Aug 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR8671TXYes

Practice location

120 E Harris Ave
San Angelo, TX 76903

Phone 325-481-6410

Mailing address

120 E Harris Ave
San Angelo, TX 76903-5904

Phone 325-657-5155

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