Individual
DR. JACK F MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S DORA ST STE B1, UKIAH, CA 95482-6353
(707) 462-0581
(707) 463-0814
Mailing address
1165 S DORA ST STE B1, UKIAH, CA 95482-6353
(707) 462-0581
(707) 463-0814
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C31615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C316150
—
CA
Enumeration date
06/27/2006
Last updated
06/29/2011
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