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NPI Code Detail

MEDICARE: MEGAN MARIE VANDERBUR PA

MEDICARE: MEGAN MARIE VANDERBUR PA
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 Assistant

General Provider Information

NPI Number : 1669162061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MARIE VANDERBUR PA
Provider Business Mailing Address
First Line : 4665 N US HIGHWAY 31
Second Line : COLUMBUS
City : COLUMBUS
State : IN
Zip : 47201-8558
Country : US
Telephone Number : 812-376-9353
Fax Number : 812-376-3757
Provider Business Practice Location Address
First Line : 4665 N US HIGHWAY 31
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-8558
Country : US
Telephone Number : 812-376-9353
Fax Number : 812-376-3757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 12/01/2025

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Directions to “ MEGAN MARIE VANDERBUR PA” Practice Location

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