Mcmahon & Ricketson MD PA

NPI #1235149048 in Pensacola, Florida

Provider Information

NPI Number: 1235149048
Entity Type: Organization
Organization Name: Mcmahon & Ricketson MD PA
Primary Specialty: Surgery
Enumeration Date: Aug 8, 2006
Last Updated: Jun 16, 2010

Practice Location

Address: 5147 N 9TH AVE
Address 2: STE. 203
City: Pensacola
State: Florida
ZIP Code: 32504-8771
Phone: (850) 476-6110

Authorized Official

Name: DR. KURT T. STOCKAMP, M.D.
Title: PRESIDENT
Phone: (850) 476-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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