Healthcare Provider Details

I. General information

NPI: 1023450798
Provider Name (Legal Business Name): MEGAN A VIGIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN A SVEC M.D.

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 6TH AVE SW
RONAN MT
59864-2600
US

IV. Provider business mailing address

107 6TH AVE SW
RONAN MT
59864-2634
US

V. Phone/Fax

Practice location:
  • Phone: 406-676-3600
  • Fax: 406-676-3738
Mailing address:
  • Phone: 406-676-4441
  • Fax: 406-676-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number49316
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: