Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 260862 | NY |
Y | 207X00000X | Orthopaedic Surgeon | 42577 | AZ |
N | 207X00000X | Orthopaedic Surgeon | 80867 | AZ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 42577 | AZ |
NPI | 1104098136 |
---|---|
Provider Name | Andrew Patrick Mahoney |
First Address | Tucson, AZ 85751-1630 |
Second Address | Tucson, AZ 85712-2805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 06/01/2014 |