Individual
MEGAN BAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8405 N PIMA CENTER PKWY, SCOTTSDALE, AZ 85258-4668
(989) 488-8224
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
8858
AZ
363A00000X
Physician Assistant
Primary
8858
AZ
363AS0400X
Surgical Physician Assistant
8858
AZ
Other
Enumeration date
11/23/2021
Last updated
07/29/2022
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