| NPI | 1639339666 |
|---|---|
| Doing Business As | MASON GENERAL HOSPITAL SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIC MOLL Chief Executive Officer 360-427-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA md00045973) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-09-19 |