Provider Demographics
NPI:1871178202
Name:MASTEL, CLAIRE ALEXANDRA (PA-C)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ALEXANDRA
Last Name:MASTEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N 27TH ST STE 21E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2373
Mailing Address - Country:US
Mailing Address - Phone:406-200-8471
Mailing Address - Fax:
Practice Address - Street 1:820 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-2049
Practice Address - Country:US
Practice Address - Phone:406-294-5225
Practice Address - Fax:406-294-5226
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-90826363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant