Individual
MARK T EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 PORT DRIVE, CLARKSTON, WA 99403-1835
(509) 758-8811
(509) 751-1188
Mailing address
500 PORT DRIVE, CLARKSTON, WA 99403-1835
(509) 758-8811
(509) 751-1188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M8239
ID
207W00000X
Ophthalmology Physician
Primary
MD00039323
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100033114
FEDERAL BLUE CROSS
—
01
—
000010033114
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
000010145029
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
0152789
LABOR & INDUSTRY
WA
01
—
24509
GROUP HEALTH COOPERATIVE
WA
01
—
42663
BLUE CROSS OF IDAHO
ID
05
—
806011100
—
ID
05
—
8293425
—
WA
01
—
8928983
CRIME VICTIMES COMPENSATION ACT
WA
01
—
BYHD5
BLUE CROSS OF IDAHO
ID
01
—
MXXPR0054708
MOLINA HEALTHCARE
WA
Enumeration date
10/26/2005
Last updated
04/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us