Elizabeth Mahoney, PA

NPI #1417610890 in Provo, Utah

Provider Information

NPI Number: 1417610890
Entity Type: Individual
Name: Elizabeth Mahoney, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 21, 2021
Last Updated: Jan 31, 2022

Practice Location

Address: 1055 N 500 W # 205
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 429-8095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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