Individual
DUANE L MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 MIRABEAU ST, GREENFIELD, OH 45123-1617
(937) 981-2116
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35053818M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315926
BCBS
—
01
—
000000316737
BCBS FOR MADISON
OH
01
—
000000316738
BCBS MADISON
—
01
—
000000319614
BLUE CROSS BLUE SHIELD
—
01
—
000000341542
BCBS CIRCLEVILLE
—
05
—
0701100
—
OH
01
—
MA4121723
MEDICARE PIN HOCKING
—
01
—
P00063123
MEDICARE RR HOCKING
—
01
—
P00088186
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
12/06/2011
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