Individual
DR. JEFFREY PHILLIP MEGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11013291A
IN
208000000X
Pediatrics Physician
11013291A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01068498A
MEDICAL LICENSE
IN
05
—
200988370
—
IN
Enumeration date
05/26/2007
Last updated
11/23/2015
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