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Organization

BRENT MAHONEY & ASSOCIATES, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT MAHONEY (OWNER)
(337) 289-8070
Entity
Organization

Contact information

Practice address
155 HOSPITAL DR, SUITE 102, LAFAYETTE, LA 70503-2852
(337) 289-8070
Mailing address
334 E FARREL RD, SUITE E, LAFAYETTE, LA 70508-7182

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
08/11/2011
Last updated
08/15/2011
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