MASON EDWARD GENTNER MD NPI 1508450602

NPI Information

Mason Edward Gentner, MD is a student in an organized health care education training program in Wright Patterson Afb, OH. The provider is 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. Mason Edward Gentner, MD NPI is 1508450602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH
ZIP 45433-529
Phone: (937) 656-3172

The NPI 1508450602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2021 and was last updated on 3/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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