Healthcare Provider Details

I. General information

NPI: 1649328717
Provider Name (Legal Business Name): MEGAN L. ANCKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13864 E BELLEWOOD DR
AURORA CO
80015-1180
US

IV. Provider business mailing address

13864 E BELLEWOOD DR
AURORA CO
80015-1180
US

V. Phone/Fax

Practice location:
  • Phone: 650-575-7977
  • Fax:
Mailing address:
  • Phone: 650-575-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0072494
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: