NPI 1063553626
William Martin McMahon, MD
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
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.