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Individual

RYAN JOSEPH MEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
(919) 784-2301

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018-00676
NC
2086S0129X
Vascular Surgery Physician
2018-00676
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2013
Last updated
05/04/2024
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