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Individual

RICHARD R MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10034 BREWSTER LN, POWELL, OH 43065-7571
(614) 761-0555
(614) 761-8937
Mailing address
PO BOX 1415, POWELL, OH 43065-1415
(614) 761-0555

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34007364M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2222526
OH
Enumeration date
07/11/2006
Last updated
07/08/2007
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