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Brian Edward Mahon, PA
Medical Physician Assistant in Longview, Washington
NPI 1306958707

Brian Edward Mahon is a Medical Physician Assistant based in Castle Rock, WA and is specialized in Medical. Brian Edward Mahon practices in Longview, WA and has the professional credentials of PA. The NPI Number for Brian Edward Mahon is 1306958707 and holds a License No. WA PA10001607 (Washington).

The current practice location address for Brian Edward Mahon is 1230 7Th Ave, Longview, WA and can be reached out via phone at 360-575-4801.

Location: 1230 7Th Ave, Longview, WA, 98611-9481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306958707
Provider Name
Brian Edward Mahon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1230 7Th Ave, Longview, WA, 98611-9481
Phone Number
360-575-4801
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1230 7Th Ave
City
Longview
State
Washington
Zip
98632-3166
Phone Number
360-575-4801
Fax Number
person
Provider Business Mailing Address Details
Address
1230 7Th Ave
City
Longview
State
Washington
Zip
98632-3166
Phone Number
360-575-4801
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
WA PA10001607 (Washington)
Definition
Definition to come...
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