Individual
JOHN D EGOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3184 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 768-2436
(530) 768-2450
Mailing address
863 SUNRIVER LN, REDDING, CA 96001-0169
(530) 244-4277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 515189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN515189
—
CA
Enumeration date
06/25/2007
Last updated
05/24/2016
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