Megan Ashlee Econopouly, P.A.-C

NPI #1073866927 in Venice, Florida

Provider Information

NPI Number: 1073866927
Entity Type: Individual
Name: Megan Ashlee Econopouly, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Oct 16, 2012
Last Updated: Aug 5, 2015

Practice Location

Address: 209 PALERMO PL
City: Venice
State: Florida
ZIP Code: 34285-2821
Phone: (941) 484-4778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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