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Individual

DR. JOSEPH MEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39929
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013316
KAISER-COMMERCIAL NUMBER
05
06938574
CO
Enumeration date
02/27/2007
Last updated
06/17/2015
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