NPI 1245209519

Joseph Albert Mahon, CP

Practitioner Prosthetist Salt Lake City, UT

Practice location

Address: 2120 S 900 E, Salt Lake City, UT 84106-2325
Phone: (801) 972-5270
Fax: (801) 606-7346

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 3054

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Registry record

NPI: 1245209519
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2006
Record last updated: 16 Dec 2015

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.