| Doctor Name: | MARTIN J MASAR |
| NPI Number: | 1295096378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 991295 |
| Business Practice Address: | 1420 E 3rd St La Junta, CO - 810502005 |
| Business Phone Number: | 7193840303 |
| Business Fax Number: | |
| Mailing Address: | Po Box 497, LA JUNTA |
| State: | CO |
| Postal Code: | 810500497 |
| Phone Number: | 7193840303 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2012 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 991295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |