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Individual

MEGAN CLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3217 S PROVIDENCE RD, COLUMBIA, MO 65203-3639
(573) 882-4730
(573) 884-4899
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01065337
IN
208000000X
Pediatrics Physician
Primary
2011035524
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200903390
IN
Enumeration date
05/22/2007
Last updated
10/05/2022
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