Individual
MICHAEL G MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
120 LION BLVD, SPRINGDALE, UT 84767-0248
(435) 772-3226
Mailing address
PO BOX 248, SPRINGDALE, UT 84767-0248
(435) 590-8186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1005091206
UT
Other
Enumeration date
02/08/2007
Last updated
01/28/2013
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