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Contact Information

JOHN D MAST MD INC
473 W EATON AVE
TRACY, CA95376
 Phone: 209-833-3320
 Fax: 209-835-5929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN D MAST MD INC · (Female)

NPI Number 1780662528
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2006
Last updated 01/06/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G34146
  • CA Medicaid 00G341461
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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