Basic Information
| Provider Information | |||||||||
| NPI: | 1740292663 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEAGHER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 554 RIVERWOOD DR | ||||||||
| Address2: | |||||||||
| City: | BEAVERCREEK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454301642 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9378851581 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1 CHILDREN'S PLAZA | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454041815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374615020 | ||||||||
| FaxNumber: | 9376413107 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2006 | ||||||||
| LastUpdateDate: | 12/16/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0120X | 35.091348 | OH | Y | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery | 208600000X | 35.091348 | OH | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | C50457 | CA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0120X | C50457 | CA | N | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery |
No ID Information.