NPI 1457102253
Derrick Mason
Practice location
- Address
- 3636 Greentree Dr, Baton Rouge, LA 70814-1217
- Phone
- (225) 955-6264
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1457102253
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Mar 2024
- Record last updated
- 29 Mar 2024
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.