Individual
MEGAN CONNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
470 CHADBOURNE RD STE A, FAIRFIELD, CA 94534-9620
(707) 419-8988
(707) 254-1779
Mailing address
1100 TRANCAS ST STE 300, NAPA, CA 94558-2921
(707) 254-1774
(707) 257-7821
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
G141047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205020316
—
MO
Enumeration date
07/13/2006
Last updated
02/06/2018
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