# ALEXANDER MAZUR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710172515
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 37476 | IA | — |
| 207RC0000X | Cardiovascular Disease Physician | 37476 | IA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036123579 | IL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 37476 | IA | — |
| 207RI0011X | Interventional Cardiology Physician | 37476 | IA | — |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 05/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 71363 | WELLMARK BCBS | IA |