Colin Mahoney, SE

NPI 1255715330 · on the registry since 2015

Practice

Address: 1246 Yellowstone Ave
Ste C5
Pocatello, ID 83201
Phone: (208) 233-0150
Fax: (208) 233-0159
Organisation at this address: Vistec Llc
Clark Family Medicine
Creekside Hospice Inc.
Portneuf Valley Dental
Sleep Better Idaho Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho