Individual
MEGAN KRISTINE ACOSTA O'GARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4722 EAGLERIDGE CIR, PUEBLO, CO 81008-2344
(719) 595-7563
Mailing address
4722 EAGLERIDGE CIR, PUEBLO, CO 81008-2344
(719) 595-7563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009026
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/27/2023
Last updated
02/04/2025
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