Individual
BENJAMIN L MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
999 HOME PLZ, WATERLOO, IA 50701-4822
(319) 287-5890
(319) 287-5079
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
(641) 752-7420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36579
IA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
36579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3497792
—
IA
01
—
P00397399
RAILROAD MEDICARE
IA
Enumeration date
05/11/2006
Last updated
02/15/2018
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