Individual
MICHAEL DANIEL MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
(541) 344-2600
(541) 344-3317
Mailing address
PO BOX 5503, EUGENE, OR 97405-0503
(541) 285-7426
(541) 357-4494
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD16459
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008552
—
OR
Enumeration date
11/02/2005
Last updated
02/22/2013
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