Individual
ROGER ALAN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 N MARTIN ST, WARREN, AR 71671-1904
(870) 466-4400
(870) 466-4556
Mailing address
614 N MARTIN ST, WARREN, AR 71671-1904
(870) 466-4400
(870) 466-4556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-3485
AR
208D00000X
General Practice Physician
E-3485
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149615001
—
AR
Enumeration date
02/04/2010
Last updated
04/07/2021
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