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NPI Code Detail

MEDICARE: MR. ROBERT ANTHONY MASON MD

MEDICARE: MR. ROBERT ANTHONY MASON MD
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
1207Q00000XFamily Medicine Physician32957CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MAR4678OTHERCOBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1821005992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT ANTHONY MASON MD
Provider Business Mailing Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number : 970-686-5646
Fax Number : 970-686-5118
Provider Business Practice Location Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number : 970-686-5646
Fax Number : 970-686-5118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 10/31/2016

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