Individual
MALCOLM C MASTELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4426
(360) 475-4344
Mailing address
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312-1898
(360) 475-4426
(360) 475-4344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8576787-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2006
Last updated
11/20/2021
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