Individual
GREGORY R. MASON
Active
Individual
GREGORY R. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C36997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C369970
—
CA
01
—
CH1382
RAILROAD MEDICARE
CA
01
—
DA6447
RAILROAD MEDICARE
CA
01
—
M050376
GROUP
CA
01
—
W14940
GROUP
CA
Enumeration date
05/30/2006
Last updated
05/16/2019
Update your record
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