| Doctor Name: | BROCK ALLEN MASON |
| NPI Number: | 1821408931 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | SL1008 |
| Business Practice Address: | 4175 S Alamo Ave Bldg 400, Flight Med Tucson, AZ - 857074402 |
| Business Phone Number: | 5202282703 |
| Business Fax Number: | |
| Mailing Address: | 4175 S Alamo Ave, Bldg 400, Flight Med TUCSON |
| State: | AZ |
| Postal Code: | 857074402 |
| Phone Number: | 5202282703 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 10/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SL1008 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |