Individual
DR. MONTE D MASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2711 S MEADOWBROOK AVE, SPRINGFIELD, MO 65807-5924
(417) 887-0081
(417) 227-1412
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137548
MO BLUE SHIELD
MO
05
—
208472308
—
MO
01
—
98622
ARK BLUE SHIELD
AR
Enumeration date
02/07/2007
Last updated
05/07/2013
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