Individual
MEGAN LEANNE SPONAUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742-6755
(301) 714-4350
Mailing address
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742-6755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08937
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2022
Last updated
12/05/2023
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