Provider Demographics
NPI:1578581302
Name:MAZOUR, JOHN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MAZOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-0151
Mailing Address - Country:US
Mailing Address - Phone:402-395-3213
Mailing Address - Fax:402-395-3173
Practice Address - Street 1:1019 SOUTH 8TH STREET
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-1760
Practice Address - Country:US
Practice Address - Phone:402-395-5013
Practice Address - Fax:402-395-2327
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2507OtherMIDLANDS CHOICE
NE7457OtherBCBS OF NEBRASKA
NEF27194OtherMUTUAL OF OMAHA
NE264447Medicare PIN
NE2507OtherMIDLANDS CHOICE