Individual
MASON HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
Mailing address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TP483
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
04/20/2023
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