Individual
ISAIAH MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1972 CLARK AVE, ALLIANCE, OH 44601-3929
(330) 823-4105
Mailing address
1972 CLARK AVE, ALLIANCE, OH 44601-3929
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT005702
OH
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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