Individual
MEGAN E MILLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8525
(702) 636-8753
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2900
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1130
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619174422
—
NV
Enumeration date
06/27/2007
Last updated
11/10/2011
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