Organization
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Active
Other names
MGH Family Health, Ankle and Foot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER)
(360) 427-9556
Entity
Organization
Contact information
Practice address
1812 N 13TH LOOP RD, SHELTON, WA 98584-2169
(360) 426-3862
Mailing address
1812 N 13TH LOOP RD, SHELTON, WA 98584-2169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2017
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