| Doctor Name: | DR. MARY V MASON |
| NPI Number: | 1093844540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 106125 |
| Business Practice Address: | 4950 Childrens Pl Wohl Medicine Clinic 5th Fl Saint Louis, MO - 631101000 |
| Business Phone Number: | 3143623500 |
| Business Fax Number: | 3143626959 |
| Mailing Address: | 660 S Euclid Ave, C B 8121 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631101010 |
| Phone Number: | 3143623500 |
| Fax Number: | 3143626959 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 106125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |