Individual
MEGAN R JOINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
83734
SC
207N00000X
Dermatology Physician
OS018067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103202817-
—
PA
05
—
837349
—
SC
Enumeration date
05/17/2012
Last updated
12/06/2022
Update your record
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