Provider Demographics
NPI:1699156364
Name:HALL, MEGAN THOMPSON (DO)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:THOMPSON
Last Name:HALL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3636 N 1ST ST STE 120
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-6818
Mailing Address - Country:US
Mailing Address - Phone:595-224-4365
Mailing Address - Fax:559-224-4354
Practice Address - Street 1:3636 N 1ST ST STE 120
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-6818
Practice Address - Country:US
Practice Address - Phone:595-224-4365
Practice Address - Fax:559-224-4354
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3877208000000X
SC51932208000000X
TN4593208000000X
CA20A23864208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics