Mason Minton, LMP

NPI #1134490667 in Longview, Washington

Provider Information

NPI Number: 1134490667
Entity Type: Individual
Name: Mason Minton, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 13, 2012
Last Updated: Jan 13, 2012

Practice Location

Address: 1151 COMMERCE AVE
City: Longview
State: Washington
ZIP Code: 98632-3024
Phone: (360) 636-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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