Individual
CRAIG MARK MASON
Active
Individual
CRAIG MARK MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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