Individual
GERALD MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-8462
(314) 977-3370
Mailing address
1008 S SPRING AVE FL 2, SAINT LOUIS, MO 63110-2520
(314) 977-8462
(314) 977-3370
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
R4H74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011339
ESSENCE
MO
01
—
0400402
UHC
MO
01
—
138654
HEALTHLINK
MO
01
—
17644
BCBS
MO
01
—
39965
GHP
MO
01
—
4136351
AETNA
MO
01
—
A12432
MERCY
MO
Enumeration date
11/07/2005
Last updated
03/12/2021
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