Individual
MASON WADE TREZISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 E 7TH PL, EAGAR, AZ 85925
(602) 349-0483
Mailing address
PO BOX 1615, EAGAR, AZ 85925-1615
(602) 349-0483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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