Mason, Glenn A

Mason, Glenn A is an sole proprietor health care provider with primary practice located at 340 Magnolia Cir Bldg 1465 , Tyndall Afb FL 32403-5604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mason, Glenn A can be contacted via phone (850) 283-7458.

Contact Information

Primary practice address
340 Magnolia Cir Bldg 1465 Tyndall Afb FL 32403-5604
Phone: (850) 283-7458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.019926 Louisiana

Profile Details

NPI number 1922057025
LBN Legal business name Mason, Glenn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Nov 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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