Most Relevant Information
Provider Data
| NPI Number: | 1003230723 |
| Provider Name: | SAM MASON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP1600X |
| Specialty: | Counselor |
| License Number: | 101YP1600X |
Most Important Dates
| Enumeration Date: | 02/17/2014 |
| Last Updated: | 02/17/2014 |
Provider Practice Location
310 N HOSPITAL DR
PAOLA
KS
660711304
Practice Location Phone/Fax
| Phone: | 9132949175 |
| Fax: | 9132949175 |
Provider Mailing Location
310 N HOSPITAL DR
PAOLA
KS
660711304
Provider Mailing Phone/Fax
| Phone: | 9132949175 |
| Fax: | 9132949175 |