Individual
STEADMAN A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 B VETERANS BLVD, ACOMA, NM 87034
(505) 552-5300
(505) 552-5490
Mailing address
2323 LIME KILN LN, STE B, LOUISVILLE, KY 40222-3416
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C50760
CA
208D00000X
General Practice Physician
Primary
C50760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
08/12/2006
Last updated
02/02/2026
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