Individual
JON MARCUS RAYMOND MUNDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 NORTH COLUMBIA AVE, CONNELL, WA 99326
(509) 234-7766
(509) 234-4320
Mailing address
PO BOX F, CONNELL, WA 99326-0047
(509) 234-7766
(509) 234-4320
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00023408
WA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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