Individual
MEGAN MAUREEN SCHICKTANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(505) 272-5551
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RS2022-0883
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/01/2020
Last updated
06/27/2023
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