Individual
MR. DAVID MICHAEL MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2410 NDJAMENA PL, DULLES, VA 20189-2410
(202) 663-2453
Mailing address
2401 E STREET NW, M-MED-QI, SA-1, WASHINGTON, DC 20522-0001
(202) 663-2453
(202) 663-3247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103982
NC
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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