Healthcare Provider Details

I. General information

NPI: 1003813841
Provider Name (Legal Business Name): MEGAN ABSHIRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 E JACOB WALTZ ST
APACHE JUNCTION AZ
85119-9450
US

IV. Provider business mailing address

5325 E JACOB WALTZ ST
APACHE JUNCTION AZ
85119-9450
US

V. Phone/Fax

Practice location:
  • Phone: 480-463-4022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32268
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: