Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corey Wayne Deberry-Seguine, PA-C

Individual provider Physician Assistant · NPI 1669921524

Corey Wayne Deberry-Seguine, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2016, 10 years ago. Practices with San Tan Allergy and Asthma PC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4915 E Baseline Rd Ste 112
Gilbert, AZ 85234-2966
Phone: (480) 626-6600
Fax: (480) 626-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6480 (AZ)

Record details

NPI number1669921524
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice San Tan Allergy And Asthma Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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