Individual
BRUCE ARTHUR MAZAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10084 LAKEVIEW RD, ABERDEEN, MS 39730-9496
(662) 369-0405
Mailing address
10084 LAKEVIEW RD, ABERDEEN, MS 39730-9496
(662) 369-0405
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
9827
MT
2085R0202X
Diagnostic Radiology Physician
Primary
01058881A
IN
Other
Enumeration date
07/25/2006
Last updated
11/17/2010
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