# MEGAN M CONOVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215231196
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | PA-1975 | ID | — |
| 208D00000X | General Practice Physician | PA-1975 | ID | — |
| 363A00000X | Physician Assistant | PA-1975 | ID | Yes |
| 363AS0400X | Surgical Physician Assistant | 4798 | AZ | — |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 07/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PA-1975 | STATE OF IDAHO PA-C LIC | ID |