Individual
DALLAS TRISTAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(407) 373-9416
Mailing address
520 RILEY PL APT B, FORT RILEY, KS 66442-1633
(407) 373-9416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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