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Individual

MR. RICHARD G MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11580 OVERLOOK DR, 200, FISHERS, IN 46037-4212
(317) 577-9558
(317) 577-9559
Mailing address
11580 OVERLOOK DR, 200, FISHERS, IN 46037-4212
(317) 577-9558
(317) 577-9559

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002072A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000298183
ANTHEM BC BS IN
IN
Enumeration date
10/18/2006
Last updated
10/15/2010
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