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Individual

DRAKE SCOTT MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
568 S MAIN ST, MONROE, UT 84754-4400
(435) 527-8866
(435) 527-4436
Mailing address
1055 NORTH 500 WEST, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
8258307-3102
UT
363L00000X
Nurse Practitioner
Primary
8258307-4405
UT

Other

Enumeration date
07/07/2014
Last updated
11/27/2023
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