Individual
DR. MEGAN H BLACKBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(605) 366-2920
Mailing address
6 VOUGA LN, SAINT LOUIS, MO 63131-2628
(605) 366-2920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
59410
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2014
Last updated
09/11/2018
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