Individual
MAX TRAVIS MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 448-4959
Mailing address
1410 COLLEGE ST, PINEVILLE, LA 71360-5215
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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