Individual
ROBERT T MAZUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 N BRENT ST, SUITE 501, VENTURA, CA 93003-2840
(805) 641-0273
(805) 641-0574
Mailing address
168 N BRENT ST, SUITE 501, VENTURA, CA 93003-2840
(805) 641-0273
(805) 641-0574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A46108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A461080
—
CA
01
—
A46108A
PTAN
CA
Enumeration date
07/24/2006
Last updated
02/28/2014
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