Individual provider · Type 1 NPI

Brian Edward Mahon, PA

Medical Physician Assistant · Longview, WA

NPI number 1306958707 Active

Practice location

1230 7th Ave
Longview, WA 98632-3166

Mailing address

1432 Woodside Dr
Castle Rock, WA 98611-9481

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XWA PA10001607 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1306958707

Brian Edward Mahon, PA's National Provider Identifier is 1306958707, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Longview, WA. The record was last updated on Jul 8, 2007.