Provider Demographics
NPI:1194831503
Name:MEEKER, DAVID WARE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WARE
Last Name:MEEKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 WILLOW ST
Mailing Address - Street 2:DAVIS SAMEH MEEKER LAB
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-529-1770
Mailing Address - Fax:509-525-1326
Practice Address - Street 1:320 WILLOW ST
Practice Address - Street 2:DAVIS SAMEH MEEKER LAB
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-529-1770
Practice Address - Fax:509-525-1326
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00012440207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7173305Medicaid
E52246Medicare UPIN