Healthcare Provider Details

I. General information

NPI: 1326066861
Provider Name (Legal Business Name): MARGARET EAGAN CANTERBURY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE #450 S
DENVER CO
80220-3900
US

IV. Provider business mailing address

4500 E 9TH AVE #450 S
DENVER CO
80220-3900
US

V. Phone/Fax

Practice location:
  • Phone: 303-394-9355
  • Fax: 303-394-1932
Mailing address:
  • Phone: 303-394-9355
  • Fax: 303-394-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: MARGARET EAGAN
Title or Position: PRESIDENT
Credential: MD
Phone: 303-394-9355