Mark H Masteller, DO
Family Medicine in Erie, PA. Individual provider (NPI-1).
NPI number1861470163
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1861470163
- Entity type
- Individual (NPI-1)
- Name
- Mark H Masteller
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2006
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS006889L | PA | Yes |
Practice location
2240 E 38th StErie, PA 16510-3688
Phone 814-825-4262 · Fax 814-825-2616
Mailing address
2240 E 38th St Ste 200Erie, PA 16510-3688
Phone 814-825-4262
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