| Doctor Name: | DR. SCOTT W MCMAHON |
| NPI Number: | 1528078938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 92-302 |
| Business Practice Address: | 200 W Wilshire Ste A La Casa Family Health Center Roswell, NM - 88201 |
| Business Phone Number: | 5756225956 |
| Business Fax Number: | 5756224059 |
| Mailing Address: | Po Box 843, PORTALES |
| State: | NM |
| Postal Code: | 88130 |
| Phone Number: | 5753566695 |
| Fax Number: | 5753565948 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 12/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 92-302 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |