Individual
DR. EAMONN M MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1485 N TURQUOISE DR, SUITE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 226-3071
Mailing address
1485 N TURQUOISE DR, STE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 226-3071
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
52804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170672
—
AZ
Enumeration date
12/21/2007
Last updated
09/27/2017
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