| Jason E Mastor Md,pa | |
|
206 Joe V Knox Ave Suite F Mooresville NC 28117-7911 | |
| (704) 662-6500 | |
| (704) 662-6503 |
| Full Name | Jason E Mastor Md,pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 206 Joe V Knox Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jason Elia Mastor (PRESIDENT) |
| Authorized Official Contact | 7046626500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason E Mastor Md,pa 206 Joe V Knox Ave Suite F Mooresville NC 28117-7911 Ph: (704) 662-6500 | Jason E Mastor Md,pa 206 Joe V Knox Ave Suite F Mooresville NC 28117-7911 Ph: (704) 662-6500 |
| NPI Number | 1205928116 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/30/2010 |
| Medicare PECOS PAC ID | 7517935810 |
|---|---|
| Medicare Enrollment ID | O20040923001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205928116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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