Individual
DR. ANTHONY MARK MASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13975 MANCHESTER RD, SUITE 7, BALLWIN, MO 63011-4500
(636) 391-1222
(636) 333-1259
Mailing address
13975 MANCHESTER RD, SUITE 7, BALLWIN, MO 63011-4500
(636) 391-1222
(636) 333-1259
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
R3P21
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
R3P21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203472246
—
MO
01
—
290015378
RAILROAD MEDICARE
MO
Enumeration date
12/31/2005
Last updated
06/06/2012
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