Individual
SHANE M MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9295 FARNHAM ST STE 100, SAN DIEGO, CA 92123-1254
(858) 939-3660
Mailing address
FILE 1440, PASADENA, CA 91199-1440
(858) 939-3660
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C134989
CA
Other
Enumeration date
01/16/2007
Last updated
11/11/2020
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