Individual
DANIEL SHANE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
179 NORTH ST, NEW MARTINSVILLE, WV 26155-1331
(304) 455-2739
(304) 455-2739
Mailing address
179 NORTH ST, NEW MARTINSVILLE, WV 26155-1331
(304) 455-2739
(304) 455-2739
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
WV-0042
WV
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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