Organization
JAMES MAZUR DPM PA
Active
Other names
James Mazur DPM
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MAZUR DPM (OWNER)
(704) 636-7015
Entity
Organization
Contact information
Practice address
322 MOCKSVILLE AVE, SALISBURY, NC 28144-3328
(704) 636-7015
(704) 636-9788
Mailing address
322 MOCKSVILLE AVE, SALISBURY, NC 28144-3328
(704) 636-7015
(704) 636-9788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0396450001
TRICARE
NC
01
—
0803T
BCBS OF NC
NC
01
—
4306
PARTNERS
NC
01
—
480025840
RAILROAD MEDICARE
NC
05
—
7705153
—
NC
05
—
890803T
—
NC
Enumeration date
08/21/2006
Last updated
02/23/2013
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