Individual
MARIE S MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
154 W MAIN ST, STE 1, BRIDGEPORT, WV 26330-1715
(304) 842-0601
(304) 842-0602
Mailing address
154 W MAIN ST, STE 1, BRIDGEPORT, WV 26330-1715
(304) 842-0601
(304) 842-0602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
677
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202005000
—
WV
Enumeration date
08/05/2006
Last updated
03/10/2008
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