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Individual

JON C RANSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 416-5750
(360) 416-5758
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00018272
WA
207R00000X
Internal Medicine Physician
Primary
MD00018272
WA
208M00000X
Hospitalist Physician
MD00018272
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1807205
WA
01
263816
LABOR & INDUSTRIES
WA
Enumeration date
06/17/2005
Last updated
11/30/2010
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