Individual
MEGAN ELIZABETH DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260
(317) 875-9105
(317) 808-8802
Mailing address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9105
(317) 808-8802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001583A
IN
Other
Enumeration date
09/06/2013
Last updated
03/27/2019
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