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Individual

MRS. MEGAN LEIGH TINGEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1495 E RIDGELINE DR, OGDEN, UT 84405-4976
(801) 399-3324
Mailing address
1066 S 1825 W, SYRACUSE, UT 84075-7170
(302) 388-2879

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4930337-1206
UT
363A00000X
Physician Assistant
C5-0000485
DE
363A00000X
Physician Assistant
MA052076
PA

Other

Enumeration date
10/19/2006
Last updated
10/03/2023
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