Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2014010093 | MO |
NPI | 1063701647 |
---|---|
Provider Name | Dr. John Paul Eggers |
First Address | Independence, MO 64057-2307 |
Second Address | Kansas City, MO 64116-3276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 02/04/2018 |