Most Relevant Information
Provider Data
NPI Number: | 1003309378 |
Provider Name: | REBECCA MASON MD |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 11020056A |
Most Important Dates
Enumeration Date: | 06/12/2018 |
Last Updated: | 10/11/2022 |
Provider Practice Location
8233 GLENCARIN BLVD
FORT WAYNE
IN
468045784
Practice Location Phone/Fax
Phone: | 2604255470 |
Fax: | 2604255475 |
Provider Mailing Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
468451701
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Family Practice EMR