Provider Demographics
NPI:1942209762
Name:MAHONEY, JULIE A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 RAMPART WAY STE 150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6442
Mailing Address - Country:US
Mailing Address - Phone:303-366-3388
Mailing Address - Fax:303-366-3377
Practice Address - Street 1:130 RAMPART WAY STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230
Practice Address - Country:US
Practice Address - Phone:303-366-3388
Practice Address - Fax:303-366-3377
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37509207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02687054Medicaid
COC810246Medicare PIN
COH69016Medicare UPIN
COCOA109629Medicare PIN
CO02687054Medicaid
CO809916Medicare PIN