| Doctor Name: | MARLYS MAGDALENE EGGUM |
| NPI Number: | 1205044666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPC |
| License Number: | 21272 |
| Business Practice Address: | 1010 Main St Courthouse Annex Miles City, MT - 593013419 |
| Business Phone Number: | 4068743377 |
| Business Fax Number: | 4068743459 |
| Mailing Address: | 208 3rd St, GLENDIVE |
| State: | MT |
| Postal Code: | 593303512 |
| Phone Number: | 4063654110 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 21272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |