Individual
DR. JASON ELIA MASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 JOE V KNOX AVE, SUITE F, MOORESVILLE, NC 28117-7911
(704) 662-6500
(704) 662-6503
Mailing address
206 JOE V KNOX AVE, SUITE F, MOORESVILLE, NC 28117-7911
(704) 662-6500
(704) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200401095
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913799
—
NC
Enumeration date
09/28/2006
Last updated
08/30/2010
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