Individual
COLTON MASON TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 BROADWAY, 3RD FLOOR, DEPT 35, OAKLAND, CA 94611
(510) 926-0422
Mailing address
3600 BROADWAY, FLOOR 3, DEPT 35, OAKLAND, CA 94611
(510) 926-0422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A185003
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/09/2021
Last updated
01/30/2025
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