Individual
MEGAN ELIZABETH NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2021027998
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100435
—
MO
Enumeration date
06/16/2015
Last updated
04/08/2026
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