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Individual

DR. SCOTT W MCMAHON

Active
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Individual

DR. SCOTT W MCMAHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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