Organization
MASON FAMILY MEDICINE & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHELLE GIORDON (CREDENTIALING SPECIALIST)
(330) 723-2111
Entity
Organization
Contact information
Practice address
6394 THORNBERRY CT, SUITE 820, MASON, OH 45040-7810
(513) 492-8541
(513) 492-8542
Mailing address
6394 THORNBERRY CT, SUITE 820, MASON, OH 45040-7810
(513) 492-8541
(513) 492-8542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35093867
OH
Other
Enumeration date
02/22/2011
Last updated
04/18/2011
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