| Doctor Name: | CHARLES L EGAN |
| NPI Number: | 1952371460 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | NONE |
| Business Practice Address: | 6000 W Highway 98 Naval Hospital Pensacola Pensacola, FL - 325120001 |
| Business Phone Number: | 8505056472 |
| Business Fax Number: | |
| Mailing Address: | 7111 N Blue Angel Pkwy, Apt 6307 PENSACOLA |
| State: | FL |
| Postal Code: | 325265042 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | NONE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |