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Individual

DR. JOHN CRAIG EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1920 E CAMBRIDGE AVE, # 201, PHOENIX, AZ 85006
(602) 254-5561
(602) 254-2185
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
(602) 933-1820

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
40388
AZ
2086S0120X
Pediatric Surgery Physician
49127020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
337256
AZ
Enumeration date
01/04/2007
Last updated
12/13/2016
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