Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NI0013X | Independent Medical Examiner | 038012061 | IL |
Y | 111NI0013X | Independent Medical Examiner | 2011037864 | MO |
NPI | 1326315888 |
---|---|
Provider Name | Miss Megan K Floarke |
First Address | Saint Louis, MO 63128-1774 |
Second Address | Creve Coeur, MO 63141-6173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2011 |
Last Update Date | 02/12/2016 |