Individual
DR. JOHN M MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 282-6100
(719) 282-6106
Mailing address
47 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911
(719) 282-6100
(719) 282-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275932
—
CO
Enumeration date
08/02/2006
Last updated
11/26/2007
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