Individual
BROCK ALLEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(480) 209-3565
Mailing address
379 N THOMPSON AVE, NIPOMO, CA 93444-9022
(480) 209-3565
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19625
CA
2083A0100X
Aerospace Medicine Physician
Primary
006745
AZ
208D00000X
General Practice Physician
SL1008
NV
Other
Enumeration date
04/29/2014
Last updated
06/17/2022
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