Dr. William Matthew Mahon
M.D. | Pediatric Adolescent Medicine | Male
Dr. William Matthew Mahon, M.D. is a Fort Bragg, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. William Matthew Mahon is
510 Cypress St Ste D, Fort Bragg, California - 95437-5411. He can be contacted on phone at
707-964-5696 and fax number 707-964-6274.
Dr. William Matthew Mahon is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. William Matthew Mahon is
1184646259 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 15 Feb, 2012.
Dr. William Matthew Mahon license number is
G30967 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. William Matthew Mahon specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. William Matthew Mahon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. William Matthew Mahon |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. William Matthew Mahon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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| Fax Number : | 707-964-6274 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184646259 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 15 Feb, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. William Matthew Mahon are as mentioned. Primary taxonomy code for Dr. William Matthew Mahon, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G30967 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. William Matthew Mahon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| OOG309670 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 205 South St
Fort Bragg, CA, 95437-5540
United States |
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| Phone Number : | 707-964-1251 |
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Business Location:
Patients can refer following map for directions to
Dr. William Matthew Mahon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.