Individual
DR. MYSHA K MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
118012
MT
207R00000X
Internal Medicine Physician
DR.0055187
CO
208M00000X
Hospitalist Physician
0055187
CO
208M00000X
Hospitalist Physician
Primary
118012
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026288
KAISER COMMERCIAL NUMBER
CO
05
—
26339200
—
CO
Enumeration date
03/28/2012
Last updated
04/09/2025
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