Individual
DR. CHARLES FARLEY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ST. VINCENT CIRCLE, LITTLE ROCK, AR 72205-5499
(501) 552-3000
(501) 552-4181
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112607001
—
AR
01
—
1346232774
BCBS
AR
Enumeration date
08/22/2005
Last updated
02/22/2010
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