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Organization
THOMAS R MASTERS DO
Active
Organization
THOMAS R MASTERS DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R MASTERS (PHYSICIAN OWNER)
(814) 835-5259
Entity
Organization
Contact information
Practice address
2828 STERRETTANIA RD, ERIE, PA 16506-3050
(814) 833-9700
Mailing address
2828 STERRETTANIA RD, ERIE, PA 16506-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005118L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009248520011
—
PA
Enumeration date
09/22/2015
Last updated
09/22/2015
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