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Jon Marcus Raymond Mundall, MD
General Practice Physician in Connell, Washington
NPI 1912185588

Jon Marcus Raymond Mundall is a General Practice Physician based in Connell, WA. Jon Marcus Raymond Mundall practices in Connell, WA and has the professional credentials of MD. The NPI Number for Jon Marcus Raymond Mundall is 1912185588 and holds a License No. MD00023408 (Washington).

The current practice location address for Jon Marcus Raymond Mundall is 111 North Columbia Ave, Connell, WA and can be reached out via phone at 509-234-7766 and via fax at 509-234-4320.

Location: 111 North Columbia Ave, Connell, WA, 99326-0047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912185588
Provider Name
Jon Marcus Raymond Mundall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 North Columbia Ave, Connell, WA, 99326-0047
Phone Number
509-234-7766
Fax Number
509-234-4320
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 North Columbia Ave
City
Connell
State
Washington
Zip
99326
Phone Number
509-234-7766
Fax Number
509-234-4320
person
Provider Business Mailing Address Details
Address
111 North Columbia Ave
City
Connell
State
Washington
Zip
99326
Phone Number
509-234-7766
Fax Number
509-234-4320
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD00023408 (Washington)
Definition
Definition to come...
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