Brian L. Mahaffey in Ballwin - Sports Medicine
Brian L. Mahaffey - NPI 1306984505
Brian L. Mahaffey is a Sports Medicine in Ballwin, Missouri. Brian L. Mahaffey practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brian L. Mahaffey is 1306984505. The last update date is 2022-08-30.
Brian L. Mahaffey's current location address is 15945 Clayton Rd, Ballwin, Missouri. You can contact this provider via phone number 6368931360 and fax number 6368931362. The mailing address for Brian L. Mahaffey is 15945 Clayton Rd, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L. Mahaffey |
|---|---|
| Address | 15945 Clayton Rd, Ballwin, Missouri |
| Phone Number | 6368931360 |
| Fax Number | 6368931362 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306984505 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
| Address | 15945 Clayton Rd |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630112490 |
| Phone Number | 6368931360 |
| Fax Number | 6368931362 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 103424 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208254235 | MO | -- | |
| 154946001 | AR | -- | |
| 98585 | MO | AR BLUE SHIELD | |
| P01317472 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian L. Mahaffey by the Centers for Medicare & Medicaid Services?
The Brian L. Mahaffey has been assigned the NPI (National Provider Identifier) 1306984505 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brian L. Mahaffey?
The Brian L. Mahaffey is physically situated at 15945 Clayton Rd, in the city of Ballwin, state of MO, with the postal code 630112490.
What is the Brian L. Mahaffey's specialty and taxonomy code?
The Brian L. Mahaffey's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
When did Brian L. Mahaffey receive its 1306984505 assignment?
The Brian L. Mahaffey was assigned its 1306984505 on 2007-02-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Brian L. Mahaffey most recently updated or revised?
The details related to Brian L. Mahaffey, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-30.
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