Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A159925 | CA |
N | 207X00000X | Orthopaedic Surgeon | MD.34804 | AL |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101269918 | VA |
NPI | 1770902819 |
---|---|
Provider Name | Megan N. Severson |
First Address | Roanoke, VA 24011-1713 |
Second Address | Roanoke, VA 24014-1111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 21/07/2021 |