Individual
MR. SCOTT A MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1080 S VAN DYKE, SUITE B, BAD AXE, MI 48413-9635
(989) 269-6048
(989) 269-6174
Mailing address
1100 S VAN DYKE, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5216
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601002408
STATE LICENSE
MI
Enumeration date
02/08/2007
Last updated
12/08/2017
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