MEDICARE: MR. CHRISTOPHER TIMOTHY MCMAHON APA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1700420833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER TIMOTHY MCMAHON APA-C

Provider Business Mailing Address
First Line	:	3524 AIRFIELD RD
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4701
Country	:	US
Telephone Number	:	719-524-6557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3524 AIRFIELD RD
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4701
Country	:	US
Telephone Number	:	719-524-6557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2019
Last Update Date	:	03/04/2025

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