Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 260684 | AZ |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 260684 | AZ |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 260684 | AZ |
NPI | 1093387060 |
---|---|
Provider Name | Maegan Drummond |
First Address | Peoria, AZ 85382-3436 |
Second Address | Chandler, AZ 85226-8603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2021 |
Last Update Date | 12/07/2021 |