Organization
PATRICIA A MAHONEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A. MAHONEY M.D. (PRESIDENT)
(507) 238-4949
Entity
Organization
Contact information
Practice address
717 S STATE ST STE 900, FAIRMONT, MN 56031-4478
(507) 238-4949
(507) 238-3378
Mailing address
717 S STATE ST STE 900, FAIRMONT, MN 56031-4478
(507) 238-4949
(507) 238-3378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069N7MA
BCBS
MN
05
—
PENDING
—
MN
Enumeration date
05/24/2006
Last updated
08/29/2007
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