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NPI Code Detail

MEDICARE: MEGAN MARIE MCMANIGAL PA-C

MEDICARE: MEGAN MARIE MCMANIGAL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA59661CA

General Provider Information

NPI Number : 1023689981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MARIE MCMANIGAL PA-C
Provider Business Mailing Address
First Line : PO BOX 262
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95741-0262
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12417 FAIR OAKS BLVD STE 600
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2500
Country : US
Telephone Number : 916-727-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 07/01/2021

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Directions to “ MEGAN MARIE MCMANIGAL PA-C” Practice Location

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