person
Mason Edward Gentner, MD
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, Ohio
NPI 1508450602

Mason Edward Gentner is a Student in an Organized Health Care Education/Training Program based in Fairborn, OH. Mason Edward Gentner practices in Wright Patterson Afb, OH and has the professional credentials of MD. The NPI Number for Mason Edward Gentner is 1508450602 and holds a License No. 01089088A (Ohio).

The current practice location address for Mason Edward Gentner is 4881 Sugar Maple Dr, Wright Patterson Afb, OH and can be reached out via phone at 937-656-3172.

Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45324-6255
person
Provider Profile Details
NPI Number
1508450602
Provider Name
Mason Edward Gentner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45324-6255
Phone Number
937-656-3172
Fax Number
Provider Enumeration Date
03/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01089088A 01 IN STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-656-3172
Fax Number
person
Provider Business Mailing Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-656-3172
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
01089088A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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