Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 162609-1205 | UT |
N | 2080N0001X | Neonatal-Perinatal Doctor | 19146 | AZ |
NPI | 1043257587 |
---|---|
Provider Name | Dr. Larry Duane Eggert |
First Address | Saint George, UT 84770-3705 |
Second Address | Saint George, UT 84770-3705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 08/07/2007 |