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Individual

DR. CHARLES B MASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 764-1170
(970) 764-1108
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(970) 764-1170
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
DR32898
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DR32898
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01328988
CO
05
372227
CO
05
T0927
CO
Enumeration date
01/13/2006
Last updated
05/29/2015
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