Doctor Name: | MEGAN E DEACON-CASEY |
NPI Number: | 1235112517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME88839 |
Business Practice Address: | 330 A1a N Suite 322 Ponte Vedra Beach, FL - 320821823 |
Business Phone Number: | 9045510703 |
Business Fax Number: | 9045510709 |
Mailing Address: | Po Box 2147, INDIANAPOLIS |
State: | IN |
Postal Code: | 462062147 |
Phone Number: | 8775099813 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ME88839 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |