Individual
MASON DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ESPLANADE AVE STE 500, KENNER, LA 70065-2475
(504) 464-8588
(504) 464-8586
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
325870
LA
2084N0400X
Neurology Physician
OP61038535
WA
Other
Enumeration date
02/16/2016
Last updated
08/10/2021
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