Organization
JANICE E EGGERT MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E EGGERT M.D. (PRESIDENT)
(702) 737-5252
Entity
Organization
Contact information
Practice address
1771 E FLAMINGO RD STE 214A, LAS VEGAS, NV 89119-0850
(702) 737-5252
(702) 737-5960
Mailing address
1771 E FLAMINGO RD STE 214A, LAS VEGAS, NV 89119-0850
(702) 737-5252
(702) 737-5960
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679839690
—
NV
01
—
V53859
MEDICARE PTAN
NV
Enumeration date
04/03/2012
Last updated
02/20/2018
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