Individual
DR. ROBERT M MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 BEAUFORD DR, SAINT LOUIS, MO 63122-1413
(314) 492-4100
(260) 212-1858
Mailing address
509 BEAUFORD DR, SAINT LOUIS, MO 63122-1413
(314) 492-4100
(260) 212-1858
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3N95
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209776418
—
MO
Enumeration date
10/12/2006
Last updated
10/02/2024
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