Individual
ROBERT MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 984-6403
(253) 985-2948
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 984-6403
(253) 985-2948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1037
NV
207L00000X
Anesthesiology Physician
5101026897
MI
207L00000X
Anesthesiology Physician
Primary
OP60102300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018481
—
NV
05
—
2179745
—
WA
Enumeration date
12/21/2005
Last updated
02/19/2024
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