Provider Demographics
NPI:1003557489
Name:MESTAS, ARTHUR JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:MESTAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FSS
Mailing Address - Street 2:APO AP
Mailing Address - City:KUNSAN AB
Mailing Address - State:NORTH JEOLLA
Mailing Address - Zip Code:96264
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 FSS
Practice Address - Street 2:APO AP
Practice Address - City:KUNSAN AB
Practice Address - State:NORTH JEOLLA
Practice Address - Zip Code:96264
Practice Address - Country:KR
Practice Address - Phone:315-782-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE35925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine