Individual
DR. MEGAN DUFFY MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5005 S 40TH ST, SUITE 1200, PHOENIX, AZ 85040-2969
(602) 453-7130
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4816
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47978
PHYSICIAN LICENSE
CO
01
—
4816
PHYSICIAN LICENSE
AZ
01
—
680
PHYSICIAN LICENSE
NE
01
—
7405355-1204
PHYSICIAN LICENSE
UT
01
—
7888
PHYSICIAN LICENSE
SD
01
—
8345A
PHYSICIAN LICENSE
WY
01
—
DO1506
PHYSICIAN LICENSE
NV
01
—
O-0571
PHYSICIAN LICENSE
ID
01
—
R874
TRAINING PERMIT
AZ
Enumeration date
03/11/2008
Last updated
09/24/2020
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