Individual
JON R MAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, ATTN: GME, FAIRFIELD, CA 94535-1809
(707) 423-7612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-35230
KS
2084P0800X
Psychiatry Physician
TRAINING CERT# PEND
OH
Other
Enumeration date
10/07/2009
Last updated
06/18/2026
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