Individual
DOUGLAS R EGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490B W ZIA RD, SANTA FE, NM 87505-7008
(505) 913-3820
(505) 913-3829
Mailing address
490B W ZIA RD, SANTA FE, NM 87505-7008
(505) 913-3820
(505) 913-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91193
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55049
—
NM
Enumeration date
10/03/2006
Last updated
02/03/2016
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