Individual
DR. JOHN ALAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
(505) 272-8060
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD2022-0327
NM
390200000X
Student in an Organized Health Care Education/Training Program
TL.0009022
CO
Other
Enumeration date
03/18/2017
Last updated
09/23/2024
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