Individual
DR. ROGER K EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 WHEATON WAY STE A, BREMERTON, WA 98310-3303
(360) 782-5700
(253) 853-8067
Mailing address
2512 WHEATON WAY STE A, BREMERTON, WA 98310-3303
(360) 782-5700
(253) 853-8067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00047354
WA
207RP1001X
Pulmonary Disease Physician
00047354
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00047354
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD00047354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033506
—
WA
Enumeration date
02/20/2007
Last updated
12/03/2020
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