Individual
DR. WILLIAM VAN HORN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 CARLISLE PL SE, ALBUQUERQUE, NM 87108-4371
(505) 265-1164
Mailing address
800 CARLISLE PL SE, ALBUQUERQUE, NM 87108-4371
(505) 265-1164
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6544
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06742
—
NM
Enumeration date
10/25/2005
Last updated
06/16/2009
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