Individual
ROXANNE M. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1965 S FREMONT AVE, SUITE 260, SPRINGFIELD, MO 65804-2201
(417) 820-0280
(417) 820-0290
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001002354
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358432409
—
MO
Enumeration date
11/30/2011
Last updated
11/30/2011
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