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NPI Code Detail

MEDICARE: MEGAN FLANIGAN

MEDICARE: MEGAN FLANIGAN
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
12081P0010XPediatric Rehabilitation Medicine PhysicianMD61033523WA

General Provider Information

NPI Number : 1700205945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN FLANIGAN
Provider Business Mailing Address
First Line : PO BOX 5299
Second Line :
City : TACOMA
State : WA
Zip : 98415-0299
Country : US
Telephone Number : 253-403-7850
Fax Number : 253-864-2819
Provider Business Practice Location Address
First Line : 311 S L ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-4289
Country : US
Telephone Number : 253-403-7850
Fax Number : 253-864-2819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 06/25/2020

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Directions to “ MEGAN FLANIGAN ” Practice Location

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