Individual
DR. MASON MANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 E HIGHLAND AVE STE 210, PHOENIX, AZ 85016-4876
(866) 607-2308
Mailing address
7125 ORCHARD LAKE RD STE 120, WEST BLOOMFIELD, MI 48322-3627
(248) 855-5355
(248) 855-5455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48189
TN
208600000X
Surgery Physician
Primary
70208
AZ
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183956
—
AZ
Enumeration date
06/09/2008
Last updated
07/16/2026
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