Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 2951 | AZ |
N | 2081P2900X | Pain Medicine | 2951 | AZ |
NPI | 1871525634 |
---|---|
Provider Name | Dr. Thomas E Masters |
First Address | Casa Grande, AZ 85122-1705 |
Second Address | Casa Grande, AZ 85122-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 17/01/2020 |