Individual
MAX TRAVIS MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
ATH.200021
LA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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