Individual
ZACHARY RYAN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MDG/SGCQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
(707) 423-5041
Mailing address
60 MDG/SGCQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28122
MS
207RG0100X
Gastroenterology Physician
Primary
28122
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05603775
—
MS
Enumeration date
05/31/2018
Last updated
07/23/2025
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