Individual
DR. PAUL MILES MACMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OSF ST FRANCIS MEDICAL CTR, 530 N.E. GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2642
Mailing address
OSF ST FRANCIS MEDICAL CTR, 530 N.E. GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
AS3581875392
IL
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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