Individual
JOAN H. MASS
Active
Individual
JOAN H. MASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9A66
MO
208M00000X
Hospitalist Physician
R9A66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295708162
—
IL
05
—
207941121
—
MO
Enumeration date
02/09/2006
Last updated
05/04/2012
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