Individual
TERESA J MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 N. SWAN RD, TUCSON, AZ 85712-4046
(520) 615-1023
(520) 320-1742
Mailing address
1601 N. SWAN RD, TUCSON, AZ 85712-4046
(520) 615-1023
(520) 320-1742
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25001
AZ
207RC0000X
Cardiovascular Disease Physician
MD2006-0467
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15223060
—
NM
Enumeration date
06/24/2005
Last updated
11/16/2011
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