BRIAN EDWARD MAHON

LONGVIEW, WA
NPI1306958707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  WA PA10001607)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- BRIAN EDWARD MAHON PA
1230 7TH AVE
LONGVIEW, WA 98632-3166
Phone number: 360-575-4801
Mailing Address
-- BRIAN EDWARD MAHON PA
1432 WOODSIDE DR
CASTLE ROCK, WA 98611-9481
Phone number: