person
Dr. William Matthew Mahon, MD
Pediatric Adolescent Medicine Physician in Fort Bragg, California
NPI 1184646259

William Matthew Mahon is a Pediatric Adolescent Medicine Physician based in Fort Bragg, CA and is specialized in Adolescent Medicine. William Matthew Mahon practices in Fort Bragg, CA and has the professional credentials of MD. The NPI Number for William Matthew Mahon is 1184646259 and holds a License No. G30967 (California).

The current practice location address for William Matthew Mahon is 510 Cypress St Ste D, Fort Bragg, CA and can be reached out via phone at 707-964-5696 and via fax at 707-964-6274.

Location: 510 Cypress St Ste D, Fort Bragg, CA, 95437-5540
person
Provider Profile Details
NPI Number
1184646259
Provider Name
William Matthew Mahon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 Cypress St Ste D, Fort Bragg, CA, 95437-5540
Phone Number
707-964-5696
Fax Number
707-964-6274
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOG309670 05 CA
institution
Provider Business Practice Location Address Details
Address
510 Cypress St Ste D
City
State
Zip
95437-5411
Phone Number
707-964-5696
Fax Number
707-964-6274
person
Provider Business Mailing Address Details
Address
510 Cypress St Ste D
City
State
Zip
95437-5411
Phone Number
707-964-5696
Fax Number
707-964-6274
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
G30967 (California)
Definition
A pediatrician who 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.
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