Individual
JOAN M MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
310 WENDELL AVE, ATT: CLINIC MANAGER, LEWISTOWN, MT 59457-2267
(406) 535-1502
(406) 535-6299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-9666
MT
208M00000X
Hospitalist Physician
MED-PHYS-LIC-9666
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029206
—
MT
01
—
810536408
TAX ID #
MT
Enumeration date
05/15/2006
Last updated
06/19/2024
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