PHILLIP E MEEHAN, PA, Surgical SIOUX FALLS, SD

Contact Information

PHILLIP E MEEHAN, PA

1301 S. CLIFF AVE
STE 610
SIOUX FALLS, SD 57105-1032

Phone: 605-322-8860
Fax: 605-322-8868
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for PHILLIP E MEEHAN · (Male)

NPI #	`1609809094`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	07/08/2006
Last updated	12/18/2013 - About 12 years ago
Sole proprietor ¹	No
Identifiers	SD License # 0571 IA Medicaid 1821021304 NE Medicaid 10025568900 SD Medicaid 6827152 MN Other 46L92ME CC SYSTEMS/ BLUE PLUS SD Other 1609809094 ARAZ/ AMERICA'S PPO SD Other 4992676 BLUE CROSS SD Other 9238709 DAKOTACARE SD Other 0127834 MEDICA SD Other 248340 MIDLAND'S CHOICE SD Other 248340 MIDLANDS CHOICE SD Other C83141041559 PREFERRED ONE SD Other 57105AT04 WPS TRICARE
Hospital affiliation(s)	AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care) 1325 S CLIFF AVE POST OFFICE BOX 5045 SIOUX FALLS, SD 57117

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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PHILLIP E MEEHAN, PA – NPI #1609809094Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for PHILLIP E MEEHAN · (Male)

Reviews for PHILLIP E MEEHAN

PHILLIP E MEEHAN, PA – NPI #1609809094
Surgical