Individual
MEGAN RENEE BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
1010 W ROUTE F, CLARK, MO 65243-9571
(573) 687-3119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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