Whalio Doctors

NPI 1295173789

Paul Miles Macmahon, MD

Practitioner Neurological Surgery Physician Peoria, IL

Practice location

Address
OSF St Francis Medical Ctr 530 N.E. Glen Oak Ave, Peoria, IL 61637-0001
Phone
(309) 655-2642

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence AS3581875392 (IL)

Registry record

NPI
1295173789
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2013
Record last updated
6 Jun 2013

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.