Provider Demographics
NPI:1669551784
Name:MEANEY, JOHN A (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:MEANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7060 E CALLE TOLOSA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2550
Mailing Address - Country:US
Mailing Address - Phone:520-881-1922
Mailing Address - Fax:520-795-4985
Practice Address - Street 1:5225 E KNIGHT DR STE 201
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2156
Practice Address - Country:US
Practice Address - Phone:520-881-1922
Practice Address - Fax:520-795-4985
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2022-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ20907207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ122789-01Medicaid
AZAZ0335200OtherBCBS
AZ118450OtherUNITEDHEALTHCARE
AZ1Z1094OtherHEALTH NET
AZE78997Medicare UPIN
AZZWCLFDMedicare ID - Type Unspecified