Individual
MR. RONALD W EGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HIGHWAY TERRACE, LVN DETENTION CENTER, LEAVENWORTH, KS 66048
(913) 680-6813
Mailing address
3824 VALLEY VIEW, LEAVENWORTH, KS 66048
(913) 758-0434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500428
KS
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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