Individual
NEIL MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1134 N MAIN ST STE 3100, BELLEFONTAINE, OH 43311-0017
(937) 592-9799
Mailing address
1134 N MAIN ST STE 3100, BELLEFONTAINE, OH 43311-0017
(937) 592-9799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006161RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/23/2023
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