Individual
DR. STEPHEN JAMES MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8051 S EMERSON AVE, STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Mailing address
8051 S EMERSON AVE, STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01026306
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365940
—
IN
Enumeration date
06/27/2005
Last updated
06/15/2010
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