Individual
JAMES MICHAEL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
(515) 271-1692
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
(515) 271-1692
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00364
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188722
—
IA
01
—
480032767
RR MEDICARE
IA
Enumeration date
08/19/2005
Last updated
02/24/2010
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