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Physician Compare National (NPI:1285601591)

HEALTHCARE PROVIDER: PETER MILES MASON D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1285601591
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961526967
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100827000335
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MASON
Individual professional last name
Provider First Name PETER
Individual professional first name
Provider Middle Name MILES
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1973
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7500 BRYAN DAIRY RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B
Group Practice or individual's line 2 address
City LARGO
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 337771437
Group Practice or individual's zip code (9 digits when available)
Phone Number 7275351919
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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