Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 2007011946 | MO |
N | 207RH0002X | Hospice and Palliative Medicine | 18742 | KS |
N | 207RH0002X | Hospice and Palliative Medicine | 207011946 | MO |
NPI | 1033197553 |
---|---|
Provider Name | Dr. Anne Marsh Egbert |
First Address | Springfield, MO 65803-6065 |
Second Address | Springfield, MO 65803-6065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 29/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033197553 | (05) | MO |
175726001 | (05) | AR |
431560263 | TRICARE WEST (01) | |
B68641 | (02) | KS |
P00653972 | RAILROAD MEDICARE (01) |