| Doctor Name: | SEAN PATRICK MEAGHER |
| NPI Number: | 1750606067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 26456 |
| Business Practice Address: | Madigan Army Medical Center Bldg 9040 Fitzsimmons Drive Tacoma, WA - 984310001 |
| Business Phone Number: | 2539682310 |
| Business Fax Number: | 2539685294 |
| Mailing Address: | Madigan Army Medical Center, Bldg 9040 Fitzsimmons Drive TACOMA |
| State: | WA |
| Postal Code: | 984310001 |
| Phone Number: | 2539682310 |
| Fax Number: | 2539685294 |
| NPI Enumeration Date: | 03/30/2010 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |