Individual
MR. RICHARD J EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 PORT DR, CLARKSTON, WA 99403-1835
(509) 758-8811
(509) 751-1188
Mailing address
500 PORT DR, CLARKSTON, WA 99403-1835
(509) 758-8811
(509) 751-1188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M3387
ID
207W00000X
Ophthalmology Physician
Primary
MD00014109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002377
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
000010145028
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
00010002377
FEDERAL BLUE CROSS
—
05
—
003681500
—
ID
05
—
1051481
—
WA
01
—
123142
LABOR & INDUSTRY
WA
01
—
12943
GROUP HEALTH COOPERATIVE
WA
01
—
15192
LABOR & INDUSTRY
ID
01
—
20031
MEDICAL EYE SERVICE
—
01
—
33878
BLUE CROSS OF IDAHO
ID
01
—
8927760
CRIME VICTIMS COMPENSATION ACT
WA
01
—
BYHC7
BLUE CROSS OF IDAHO
ID
01
—
MSIWAE400
MOLINA HEALTHCARE
WA
Enumeration date
10/27/2005
Last updated
04/30/2008
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