Individual
BENJAMIN BARRY MAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
(660) 438-2615
Mailing address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
(660) 438-2615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47805
KY
207Q00000X
Family Medicine Physician
Primary
C1-0009472
DE
Other
Enumeration date
09/01/2010
Last updated
04/07/2015
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