Doctor Name: | PETER H MASON |
NPI Number: | 1003800525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO3344 |
Business Practice Address: | 1632 Stafford Springs Pl Dayton, OH - 454586033 |
Business Phone Number: | 9376080396 |
Business Fax Number: | |
Mailing Address: | 1632 Stafford Springs Pl, DAYTON |
State: | OH |
Postal Code: | 454586033 |
Phone Number: | 9376080396 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3344 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |