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Individual
DR. JONATHAN BRAD EGBERT
Active
Individual
DR. JONATHAN BRAD EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA1449
ID
207Q00000X
Family Medicine Physician
098-T2
WY
207Q00000X
Family Medicine Physician
Primary
14271352-1205
UT
207Q00000X
Family Medicine Physician
Primary
MD193108
OR
Other
Enumeration date
03/09/2011
Last updated
05/15/2026
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