Organization
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY WASHINGTON
Active
Other names
Mason General Hospital Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MOLL CEO (CHIEF EXECUTIVE OFFICER)
(360) 427-9554
Entity
Organization
Contact information
Practice address
1710 N 13TH LOOP RD, SHELTON, WA 98584-2166
(360) 426-4142
(360) 427-5772
Mailing address
1710 N 13TH LOOP RD, SHELTON, WA 98584-2166
(360) 426-4142
(360) 427-5772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00045973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7143456
—
WA
Enumeration date
06/12/2008
Last updated
09/19/2013
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