Individual
MARK R MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 100, FAIRFAX, VA 22033-1757
(703) 810-5223
(703) 810-5403
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101049426
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409881
—
VA
Enumeration date
08/07/2006
Last updated
10/28/2020
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