Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | MO14308 | MO |
Y | 213EG0000X | General Practice | MO14308 | MO |
NPI | 1003838871 |
---|---|
Provider Name | Dr. Deborah L Meegan |
First Address | Florissant, MO 63033-1438 |
Second Address | Florissant, MO 63033-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/07/2007 |