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Organization
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY WASHINGTON
Active
Organization
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY WASHINGTON
Active
Other names
Mason General Hospital Ankle Foot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER)
(360) 427-9554
Entity
Organization
Contact information
Practice address
1812 N 13TH ST, SHELTON, WA 98584
(360) 427-0366
Mailing address
1812 N 13TH ST, SHELTON, WA 98584
(360) 427-0366
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
10/01/2014
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