Individual
DR. MARIA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1341 W 6TH ST, WALDRON, AR 72958-7642
(479) 314-1131
(479) 314-1194
Mailing address
PO BOX 17000, FORT SMITH, AR 72917-7000
(479) 314-1131
(479) 314-1194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E0117
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5J505
AR BCBS
AR
Enumeration date
07/15/2006
Last updated
07/08/2007
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