Healthcare Provider Details

I. General information

NPI: 1720728256
Provider Name (Legal Business Name): MEGAN SLUGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N 12TH STREET 3RD FLOOR
PHOENIX AZ
85006
US

IV. Provider business mailing address

1111 E. MCDOWELL RD. TOWER 2, 9B
PHOENIX AZ
85006
US

V. Phone/Fax

Practice location:
  • Phone: 602-521-5700
  • Fax: 602-521-5701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number79941
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: