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NPI Code Detail

MEDICARE: DR. LESLIE F MASON M.D.

MEDICARE:  DR. LESLIE F MASON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician21521MS

General Provider Information

NPI Number : 1275731929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE F MASON M.D.
Provider Business Mailing Address
First Line : 115 FOUNTAINS BLVD
Second Line : SUITE A
City : MADISON
State : MS
Zip : 39110-6344
Country : US
Telephone Number : 601-853-0100
Fax Number : 601-853-3999
Provider Business Practice Location Address
First Line : 115 FOUNTAINS BLVD
Second Line : SUITE A
City : MADISON
State : MS
Zip : 39110-6344
Country : US
Telephone Number : 601-853-0100
Fax Number : 601-853-3999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2007
Last Update Date : 06/24/2016

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Directions to “ DR. LESLIE F MASON M.D.” Practice Location

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