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Individual

MR. DAVID VENTURA MEEHAN

Active
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Individual

MR. DAVID VENTURA MEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31736
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401760
UNITED HEALTHCARE
01
1206F
BLUE CROSS BLUE SHIELD
NC
01
7210027
AETNA
05
891206F
NC
Enumeration date
02/01/2006
Last updated
11/01/2012
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