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NPI Code Detail

MEDICARE: MEGAN M MICHAEL PA-C

MEDICARE: MEGAN M MICHAEL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2021043681MO

General Provider Information

NPI Number : 1629318829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN M MICHAEL PA-C
Provider Business Mailing Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number :
Provider Business Practice Location Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2013
Last Update Date : 07/08/2024

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Directions to “ MEGAN M MICHAEL PA-C” Practice Location

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