Individual
ERIC DYLAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6610
Mailing address
736 BROADWAY ST APT B, EIELSON AFB, AK 99702-1344
(573) 247-7696
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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