Individual
ERIC BRYAN ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1106 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-3548
(417) 581-6164
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014032125
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188436301
—
TX
01
—
8Y2074
BCBS
TX
Enumeration date
11/17/2006
Last updated
09/22/2014
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