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Individual

DAVID BLAIR MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560
Mailing address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35184
SC
207Q00000X
Family Medicine Physician
Primary
C194569
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351844
SC
Enumeration date
06/08/2007
Last updated
09/09/2024
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