Individual
DR. ROBERT J MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2353
(702) 671-5060
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-4969
(614) 293-6111
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
34002343
OH
2084N0400X
Neurology Physician
Primary
DO2446
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274920
—
OH
Enumeration date
12/02/2005
Last updated
08/23/2019
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