DR. JOHN CRAIG EGAN MD NPI 1558418590

NPI Information

DR. John Craig Egan, MD is a pediatric surgery surgery in Phoenix, AZ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. John Craig Egan, MD NPI is 1558418590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1920 E CAMBRIDGE AVE
# 201
PHOENIX, AZ
ZIP 85006
Phone: (602) 254-5561
Fax: (602) 254-2185

The NPI 1558418590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 12/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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