Individual
DR. SCOTT W MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 N MAIN ST, ROSWELL, NM 88201-4725
(575) 624-2095
(575) 208-0780
Mailing address
PO BOX 711, ROSWELL, NM 88202-0711
(575) 624-2095
(575) 208-0780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
92-302
NM
208D00000X
General Practice Physician
92-302
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17600065
—
NM
01
—
NM009Y96
BLUE CROSS BLUE SHIELD ID
NM
Enumeration date
08/08/2006
Last updated
12/23/2025
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