Healthcare Provider Details

I. General information

NPI: 1013856962
Provider Name (Legal Business Name): MEGAN BRIANNE SALTSGAVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

132 MARIAN ST
MOUNT CARMEL IL
62863-2636
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-5140
  • Fax:
Mailing address:
  • Phone: 618-240-6759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: