Healthcare Provider Details

I. General information

NPI: 1114217502
Provider Name (Legal Business Name): MEGAN JEAN DORY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN JEAN BAILEY MD

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 N ARLINGTON AVE STE 620
RENO NV
89503-4444
US

IV. Provider business mailing address

645 N ARLINGTON AVE STE 620
RENO NV
89503
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-2525
  • Fax: 775-348-0740
Mailing address:
  • Phone: 775-329-2525
  • Fax: 775-348-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD167058
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number16307
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: