NPI 1922057025 · live from the CMS NPI Registry
Glenn A Mason, M.D.
Radiology, Diagnostic Radiology in Tyndall Afb, FL. National Provider Identifier 1922057025, active.
NPI record
| NPI | 1922057025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403 |
| Practice phone | 850-283-7458 |
| Enumerated | May 8, 2006 |
| Last updated | November 23, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD.019926 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.