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Carl A Mazzola, MD
Diagnostic Radiology Physician in St Charles, Missouri
NPI 1801967138

Carl A Mazzola is a Diagnostic Radiology Physician based in St Charles, MO and is specialized in Diagnostic Radiology. Carl A Mazzola practices in St Charles, MO and has the professional credentials of MD. The NPI Number for Carl A Mazzola is 1801967138 and holds a License No. 2004001466 (Missouri).

The current practice location address for Carl A Mazzola is 300 First Capitol Drive, St Charles, MO and can be reached out via phone at 636-947-5444 and via fax at 636-947-5259.

Location: 300 First Capitol Drive, St Charles, MO, 63301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801967138
Provider Name
Carl A Mazzola
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 First Capitol Drive, St Charles, MO, 63301
Phone Number
636-947-5444
Fax Number
636-947-5259
Provider Enumeration Date
11/10/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209131705 05 MO
institution
Provider Business Practice Location Address Details
Address
300 First Capitol Drive
City
St Charles
State
Missouri
Zip
63301
Phone Number
636-947-5444
Fax Number
636-947-5259
person
Provider Business Mailing Address Details
Address
300 First Capitol Drive
City
St Charles
State
Missouri
Zip
63301
Phone Number
636-947-5444
Fax Number
636-947-5259
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2004001466 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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