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NPI Code Detail

MEDICARE: ERIN ALICE MCMAHON PA

MEDICARE: ERIN ALICE MCMAHON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA.0007624CO

General Provider Information

NPI Number : 1457064966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ALICE MCMAHON PA
Provider Business Mailing Address
First Line : 9151 GOLD LACE PL
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-5781
Country : US
Telephone Number : 303-957-7183
Fax Number :
Provider Business Practice Location Address
First Line : 7460 S GARTRELL RD
Second Line :
City : AURORA
State : CO
Zip : 80016-4236
Country : US
Telephone Number : 303-529-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2022
Last Update Date : 01/01/2026

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