Individual
JOHN J MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
12032
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659364651
—
MT
Enumeration date
08/24/2005
Last updated
08/10/2011
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