Organization
JEAN T. MASTERSON, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN THERESE MASTERSON D.P.M. (OWNNER)
(970) 352-4815
Entity
Organization
Contact information
Practice address
2000 16TH ST STE 3, GREELEY, CO 80631-5149
(970) 352-4815
Mailing address
2000 16TH ST STE 3, GREELEY, CO 80631-5149
(970) 352-4815
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01003706
—
CO
Enumeration date
03/07/2008
Last updated
03/07/2008
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