Individual provider · Type 1 NPI
Mason Wade Trezise
Student in an Organized Health Care Education/Training Program · Eagar, AZ
NPI number
1114393782
Active
Practice location
98 E 7th Pl
Eagar, AZ 85925
Mailing address
PO Box 1615
Eagar, AZ 85925-1615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1114393782
Mason Wade Trezise's National Provider Identifier is 1114393782, issued on Aug 18, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagar, AZ. The record was last updated on Aug 18, 2015.