Whalio Doctors

NPI 1063553626

William Martin McMahon, MD

Practitioner Child & Adolescent Psychiatry Physician Slc, UT

Practice location

Address
650 Komas Dr 206, Slc, UT 84108-1215
Phone
(801) 585-7781
Fax
(801) 581-8979
Mailing address
1970 Michigan Ave, Slc, UT 84108-1324

Registered specialties

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 1602251205 (UT)

Registry record

NPI
1063553626
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.