Organization
MARK L MASON OD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM J WAHL (CLERICAL)
(330) 499-1494
Entity
Organization
Contact information
Practice address
907 SCHNEIDER ST SE, NORTH CANTON, OH 44720-3774
(330) 499-1494
(330) 499-3744
Mailing address
907 SCHNEIDER ST SE, NORTH CANTON, OH 44720-3774
(330) 499-1494
(330) 499-3744
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0997917
—
OH
Enumeration date
11/25/2014
Last updated
11/25/2014
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