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Individual

DR. DEREK M EAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
86 SOUTH HIGH ST, BRIDGTON, ME 04009-4118
(207) 647-9900
(207) 647-9909
Mailing address
PO BOX 20, BRIDGTON, ME 04009-0020
(207) 647-9900
(207) 647-9909

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1910
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434519300
ME
Enumeration date
07/01/2009
Last updated
07/30/2010
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