Individual
DR. ROBERT EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1078 BIG BETHEL RD, HAMPTON, VA 23666-1947
(757) 838-2500
Mailing address
1078 BIG BETHEL RD, HAMPTON, VA 23666-1947
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177827
ANTHEM
VA
Enumeration date
11/14/2006
Last updated
07/08/2007
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