Individual
COLIN GRANT EGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 S 16TH ST STE 405B, LINCOLN, NE 68502-3796
(402) 481-5860
Mailing address
2222 S 16TH ST STE 405B, LINCOLN, NE 68502-3796
(402) 481-5860
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
363A00000X
Physician Assistant
Primary
—
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2022
Last updated
09/13/2022
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