Individual
THOMAS M MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST
Contact information
Practice address
44 N MEDICAL DR, SALT LAKE CITY, UT 84113-1105
(801) 584-8215
Mailing address
240 PARKVIEW DR, PARK CITY, UT 84098-5144
(435) 649-5394
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100926-9937
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999000021033
—
UT
Enumeration date
03/05/2007
Last updated
07/09/2007
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