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Individual

MEGAN ELYSE LAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1784
(602) 933-4298
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10049638
TX
208000000X
Pediatrics Physician
ML60551082
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
60861
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2014
Last updated
12/10/2020
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