Mazo, Robert J

Mazo, Robert J is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 230 , Las Vegas NV 89102-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mazo, Robert J can be contacted via phone (702) 671-5060.

Contact Information

Primary practice address
1707 W Charleston Blvd Ste 230 Las Vegas NV 89102-2353
Phone: (702) 671-5060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34002343 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO2446 Nevada

Profile Details

NPI number 1528042660
LBN Legal business name Mazo, Robert J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Aug 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528042660 NPPES
Ohio MEDICAID 0274920

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