Individual
DR. DAVID C MENA
Active
Individual
DR. DAVID C MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
118572
MO
2085R0202X
Diagnostic Radiology Physician
Primary
118572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458610F
—
KS
05
—
1295784767
—
IA
01
—
1528169752
SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
MO
05
—
208408906
—
MO
01
—
P00382512
RAILROAD MEDICARE
MO
Enumeration date
05/10/2006
Last updated
06/29/2021
Update your record
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