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Individual
RENEE P MASON
Active
Individual
RENEE P MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
486
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
C10300942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1188720001
ADMINISTAR
—
01
—
149951C
UMWA
—
01
—
280050
ANTHEM
VA
05
—
4350319
—
TN
05
—
9302107
—
VA
01
—
MAMSI
264477
—
Enumeration date
11/30/2005
Last updated
09/27/2011
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