Individual
DR. JOHN H. MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8602 N CARDINAL DR, PHOENIX, AZ 85028-6102
(480) 695-2724
Mailing address
8602 N CARDINAL DR, PHOENIX, AZ 85028-6102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8295
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224337 04
STATE AHCCS
AZ
01
—
AZ0053990
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/27/2005
Last updated
07/08/2007
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