Individual
BRIAN D MASONHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
109 E WALNUT ST, COLUMBUS JUNCTION, IA 52738-1014
(319) 728-2429
(319) 728-7600
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3855
(319) 358-2791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171975
—
IA
01
—
080128957
RAILROAD MEDICARE
IA
Enumeration date
06/12/2006
Last updated
02/28/2017
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