Individual
DR. MEGAN PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1280 E STRINGHAM AVE, SALT LAKE CITY, UT 84106-2490
(801) 581-2955
Mailing address
PO BOX 841052, LOS ANGELES, CA 90084-1052
(801) 581-2955
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12222522-1205
UT
207N00000X
Dermatology Physician
940915
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
03/20/2023
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