Individual
DR. SCOTT FRANK MASTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 CHESTER BLVD, RICHMOND, IN 47374-1914
(765) 935-1905
(765) 935-1910
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-1905
(765) 935-1910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01042444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000705640
ANTHEM - RPA
—
05
—
0068959
—
OH
05
—
200873010
—
IN
Enumeration date
06/29/2007
Last updated
02/20/2017
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