Individual
GRETCHEN B MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 LINCOLN DR, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9124
Mailing address
510 LINCOLN DR, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0850003442
IL
Other
Enumeration date
10/13/2005
Last updated
03/25/2009
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