Individual
PATRICK J. EGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2023013710
MO
363A00000X
Physician Assistant
53-82150-062
KS
363AS0400X
Surgical Physician Assistant
15-00759
KS
363AS0400X
Surgical Physician Assistant
Primary
2023013710
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001686300
CHP PROVIDER NUMBER
—
05
—
100391130A
—
KS
01
—
481202402
PSKU TAX ID
—
01
—
928282
FIRSTGUARD
—
01
—
970017944
RR MEDICARE
—
Enumeration date
08/31/2006
Last updated
06/11/2025
Update your record
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