Healthcare Provider Details

I. General information

NPI: 1831334903
Provider Name (Legal Business Name): FRANCENE MASON MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 MANHATTAN CIR SUITE 100
BOULDER CO
80303-4291
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 303-543-1201
  • Fax: 303-543-1206
Mailing address:
  • Phone: 303-546-9158
  • Fax: 303-546-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number38519
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number38519
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. FRAN MASON
Title or Position: OWNER
Credential: MD
Phone: 303-543-1201