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NPI Code Detail

MEDICARE: MS. MEGAN L MCINTYRE DPH

MEDICARE: MS. MEGAN L MCINTYRE DPH
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
1183500000XPharmacist54821WA

General Provider Information

NPI Number : 1952380115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN L MCINTYRE DPH
Provider Business Mailing Address
First Line : 1526 AURORA AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-3041
Country : US
Telephone Number : 206-940-6824
Fax Number :
Provider Business Practice Location Address
First Line : 925 SENECA ST
Second Line : H3PI
City : SEATTLE
State : WA
Zip : 98101-2742
Country : US
Telephone Number : 206-583-6011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 07/08/2007

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