Organization
JOHN D MAST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D MAST (MD)
(209) 833-3320
Entity
Organization
Contact information
Practice address
473 W EATON AVE, TRACY, CA 95376
(209) 833-3320
(209) 835-5929
Mailing address
PO BOX 986, WOODBRIDGE, CA 95258-0986
(209) 339-9036
(209) 339-1901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G34146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G341461
—
CA
Enumeration date
01/03/2006
Last updated
01/06/2010
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