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Individual
MEGAN L. MACBUTCH
Active
Individual
MEGAN L. MACBUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3199
CO
363A00000X
Physician Assistant
Primary
PA-1219
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90507061
—
CO
Enumeration date
04/25/2011
Last updated
07/10/2024
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