Individual
DANIEL W EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 W CANYON CREST RD, SUITE 200, ALPINE, UT 84004-1819
(801) 763-9851
(801) 763-9852
Mailing address
155 W CANYON CREST RD, SUITE 200, ALPINE, UT 84004-1819
(801) 763-9851
(801) 763-9852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3460321205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4750
—
UT
Enumeration date
08/30/2006
Last updated
03/30/2010
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