Individual
MR. TYLER JAMES MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5942 HUFF HILL RD, RUSSELLVILLE, OH 45168-8961
(937) 213-3248
Mailing address
5942 HUFF HILL RD, RUSSELLVILLE, OH 45168-8961
(937) 213-3248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
402410
OH
363L00000X
Nurse Practitioner
Primary
3011352
KY
Other
Enumeration date
02/28/2017
Last updated
06/15/2017
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