Individual
DR. MARK A MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 4TH ST SW, SUITE 8, MASON CITY, IA 50401-1596
(641) 424-0000
(641) 424-6762
Mailing address
2800 4TH ST SW, SUITE 8, MASON CITY, IA 50401-1596
(641) 424-0000
(641) 424-6762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029413
—
IA
01
—
27189
BLUE CROSS OF IOWA #
IA
Enumeration date
01/23/2006
Last updated
03/30/2021
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