Individual
CRAIG MARK MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 UNIVERSITY DR S STE 204, FARGO, ND 58103-6050
(701) 293-9829
(701) 293-0111
Mailing address
2829 UNIVERSITY DR S STE 204, FARGO, ND 58103-6050
(701) 293-9829
(701) 293-0111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9082
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144775
CIGNA
—
01
—
0800996
MEDICA
—
01
—
1031279
PREFERRED ONE
—
05
—
11965
—
ND
01
—
180045594
RAILROAD MEDICARE
—
01
—
214T1MA
BLUE CROSS AND BLUE SHIEL
MN
01
—
22104
BLUE CROSS AND BLUE SHIEL
ND
05
—
6300620
—
SD
05
—
831015700
—
MN
Enumeration date
12/19/2005
Last updated
09/09/2011
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