Word Mason

NPI 1013356179 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1013356179
Enumeration Date 06/21/2013
Last Updated 06/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL MICHAEL
Position MANAGING MEMBER
Phone (208) 293-5673
Fax
Practice Location
1503 TETON AVE
CALDWELL ID, 83605-2266, US
Phone (208) 293-5673
Fax
Business Location
1503 TETON AVE
CALDWELL ID, 83605-2266, US
Phone (208) 293-5673
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Word Mason NPI is 1013356179, taxonomy code is 251S00000X Word Mason physically located at 1503 Teton Ave, Caldwell ID, 83605-2266. NPI Number 1033115704 has the healthcare provider type.

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1013356179 NPI number is provided on an as is basis without warranty of any kind. 1013356179 is maintained by the National Plan & Provider Enumeration System. The contents of Word Mason are for informational purposes only.