Doctor Name: | DAREK EGGLESTON |
NPI Number: | 1518302850 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1100 W 2700 N Pleasant View, UT - 844044791 |
Business Phone Number: | 8014753600 |
Business Fax Number: | 8014753601 |
Mailing Address: | 4650 Harrison Blvd, OGDEN |
State: | UT |
Postal Code: | 844034303 |
Phone Number: | 8014753000 |
Fax Number: | 8014753414 |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |