person
Glenn Andrew Mahoney, PAC
Medical Physician Assistant in Lake Stevens, Washington
NPI 1841263365

Glenn Andrew Mahoney is a Medical Physician Assistant based in Everett, WA and is specialized in Medical. Glenn Andrew Mahoney practices in Lake Stevens, WA and has the professional credentials of PAC. The NPI Number for Glenn Andrew Mahoney is 1841263365 and holds a License No. PAC942 (Washington).

The current practice location address for Glenn Andrew Mahoney is 8910 Vernon Road, Lake Stevens, WA and can be reached out via phone at 425-335-0966 and via fax at 425-335-5145.

Location: 8910 Vernon Road, Lake Stevens, WA, 98201
person
Provider Profile Details
NPI Number
1841263365
Provider Name
Glenn Andrew Mahoney
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
8910 Vernon Road, Lake Stevens, WA, 98201
Phone Number
425-335-0966
Fax Number
425-335-5145
Provider Enumeration Date
02/08/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100507753 05 NV
100507754 05 NV
institution
Provider Business Practice Location Address Details
Address
8910 Vernon Road
City
State
Zip
98258
Phone Number
425-335-0966
Fax Number
425-335-5145
person
Provider Business Mailing Address Details
Address
8910 Vernon Road
City
State
Zip
98258
Phone Number
425-335-0966
Fax Number
425-335-5145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC942 (Nevada)
Definition
Definition to come...
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