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NPI Code Detail

MEDICARE: DR. THOMAS J MCMAHON MD

MEDICARE: DR. THOMAS J MCMAHON MD
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
1208600000XSurgery Physician8098MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11558399709OTHERMTNPI

General Provider Information

NPI Number : 1558399709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J MCMAHON MD
Provider Business Mailing Address
First Line : 1019 HILDA AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59801-4323
Country : US
Telephone Number : 406-560-2170
Fax Number : 406-284-0441
Provider Business Practice Location Address
First Line : 305 W PENNSYLVANIA AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-1900
Country : US
Telephone Number : 406-563-8571
Fax Number : 406-563-8523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 01/12/2024

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