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Individual

SPENCER L EAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14340 METCALF AVE, OVERLAND PARK, KS 66223-2987
(913) 914-5975
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2597

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0435520
KS
208200000X
Plastic Surgery Physician
2012005895
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881785772
MO
Enumeration date
09/27/2006
Last updated
11/07/2025
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