Individual
INGRID MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 E 86TH ST, SUITE 24A, INDIANAPOLIS, IN 46240-1867
(317) 587-0815
(317) 574-7994
Mailing address
1020 E 86TH ST, SUITE 24A, INDIANAPOLIS, IN 46240-1867
(317) 587-0815
(317) 574-7994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IN01031079
IN
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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