Provider Demographics
NPI:1558677567
Name:CAHILL, MARY E (DVM)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:CAHILL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-0502
Mailing Address - Country:US
Mailing Address - Phone:970-412-3983
Mailing Address - Fax:970-282-0291
Practice Address - Street 1:3736 GARFIELD AVENUE
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549
Practice Address - Country:US
Practice Address - Phone:970-412-3983
Practice Address - Fax:970-282-0291
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7693174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7693OtherDVM LICENSE