Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 11427679-1205 | UT |
Y | 111NI0900X | Internist | 11427679-1205 | UT |
NPI | 1003303496 |
---|---|
Provider Name | Megan Meier |
First Address | Salt Lake City, UT 84132-3329 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2018 |
Last Update Date | 13/09/2019 |