Organization
MEADOW MOUNTAIN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L TREGO PA-C (OWNER / PHYSICIAN ASSISTANT)
(410) 726-1443
Entity
Organization
Contact information
Practice address
8739 ROCK LODGE RD, ACCIDENT, MD 21520-1126
(410) 726-1443
Mailing address
8739 ROCK LODGE RD, ACCIDENT, MD 21520-1126
(410) 726-1443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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