Individual
MR. MICHAEL ANTHONY MCGAHARN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.PT
Contact information
Practice address
3695 DENAIR ST, PASADENA, CA 91107-1302
(626) 351-0717
(626) 351-0717
Mailing address
3695 DENAIR ST, PASADENA, CA 91107-1302
(626) 351-0717
(626) 351-0717
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT 16319
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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