Michael Mason
Individual provider Active NPI Driver · Ajo, AZ
NPI 1306649876 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1306649876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 220 W la Mina Ave
Ajo, AZ 85321-2725 - Phone
- (520) 425-6719
- NPI assigned
- Mar 31, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
220 W la Mina Ave
Ajo, AZ 85321-2725
Mailing address
220 W la Mina Ave
Ajo, AZ 85321-2725
Phone (520) 425-6719
Other providers in Ajo, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.