Individual
ELIZABETH MAZEZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4499
WV
207R00000X
Internal Medicine Physician
OS021649
PA
Other
Enumeration date
03/28/2018
Last updated
12/18/2024
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