Most Relevant Information
Provider Data
| NPI Number: | 1003550633 |
| Provider Name: | DEREK MASON MD, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2022 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
4940 EASTERN AVE
BALTIMORE
MD
212242735
Practice Location Phone/Fax
| Phone: | 4105500100 |
| Fax: |
Provider Mailing Location
20216 WILLOWBEND LN
PARKER
CO
801387116
Provider Mailing Phone/Fax
| Phone: | 7204483089 |
| Fax: |