Individual
DR. STEVEN M MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1048 BURLINGTON AVE, SUITE 101, MISSOULA, MT 59801-5683
(406) 549-2771
(406) 926-1227
Mailing address
PO BOX 1176, LOLO, MT 59847-1176
(406) 549-2771
(406) 549-3925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MT615
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000162503
—
MT
01
—
040480
BLUE CROSS BLUE SHIELD MT
—
01
—
U10340
STERLING
—
Enumeration date
01/02/2007
Last updated
04/21/2017
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