Organization
NORTHERN COLORADO HAND & WRIST CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H MAHON MD (PRESIDENT)
(970) 221-2827
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD, UNIT 260, FORT COLLINS, CO 80528-3402
(970) 221-2827
(970) 221-2854
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
01038212A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
46063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46207759
—
CO
01
—
NON46063
ANTHEM BCBS
—
Enumeration date
09/05/2007
Last updated
01/06/2009
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