Provider Demographics
NPI:1023079100
Name:MECHLIN, DAVID C (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:MECHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:303 N KEENE ST
Practice Address - Street 2:SUITE 401
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8050
Practice Address - Country:US
Practice Address - Phone:573-884-2200
Practice Address - Fax:573-884-8836
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2022-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO35701207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200109015Medicaid
MOA10213Medicare UPIN