Individual
LYLE BEYER MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1708 STONE RIDGE CIR, BOUNTIFUL, UT 84010-1033
(801) 295-7604
(801) 295-7604
Mailing address
1708 STONE RIDGE CIR, BOUNTIFUL, UT 84010-1033
(801) 295-7604
(801) 295-7604
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
162465-1205
UT
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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