Individual
DR. JAMES WILLIAM EGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 SUNNYSLOPE RD, HOLLISTER, CA 95023-5784
(831) 636-6577
(831) 636-5662
Mailing address
20 JOES LN, HOLLISTER, CA 95023-6300
(831) 638-1164
(831) 636-0612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G39625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G39625-0
—
CA
Enumeration date
03/18/2006
Last updated
07/08/2007
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