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Individual

RALPH EDWIN MEEHAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3721 HIGHWAY 412 E STE A, SILOAM SPRINGS, AR 72761-8010
(479) 215-3035
(479) 524-1818
Mailing address
1101 PROGRESS AVE, SUITE 1, SILOAM SPRINGS, AR 72761-4343
(479) 549-4010
(479) 549-3302

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E1104
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100181270A
OK
05
134149003
AR
Enumeration date
06/16/2006
Last updated
09/15/2020
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