Individual
DR. GREGORY ALAN MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9915 TAMIAMI TRL N STE 1, NAPLES, FL 34108
(239) 566-8800
(239) 566-2671
Mailing address
11711 PASETTO LN APT 405, FORT MYERS, FL 33908-2670
(757) 287-0832
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
057638
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
310
OK
Other
Enumeration date
07/07/2011
Last updated
10/25/2018
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