Individual
MEGAN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10050 W BELL RD STE 35, SUN CITY, AZ 85351-1290
(623) 281-1130
(408) 906-2179
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975526
—
AZ
01
—
P00351239
MEDICARE RR
AZ
Enumeration date
11/22/2005
Last updated
11/08/2024
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