Individual
MICHAEL JASON MASTERS
Active
Individual
MICHAEL JASON MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26564
NC
207NS0135X
Procedural Dermatology Physician
26564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202801A
PTAN
NC
01
—
54667
BLUE CROSS BLUE SHIELD
—
01
—
561473220
ALL OTHER INSURANCE
—
05
—
8954667
—
NC
Enumeration date
09/14/2005
Last updated
03/25/2015
Update your record
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