Whalio Doctors

NPI 1104027234

Lyle Beyer Mason, MD

Practitioner Pediatric Orthopaedic Surgery Physician Bountiful, UT

Practice location

Address
1708 Stone Ridge Cir, Bountiful, UT 84010-1033
Phone
(801) 295-7604
Fax
(801) 295-7604

Registered specialties

Pediatric Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XP3100X Licence 162465-1205 (UT)

Registry record

NPI
1104027234
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.