person
Gloria Jean Eagle, PA-C
Medical Physician Assistant in Parker, Arizona
NPI 1770543506

Gloria Jean Eagle is a Medical Physician Assistant based in Parker, AZ and is specialized in Medical. Gloria Jean Eagle practices in Parker, AZ and has the professional credentials of PA-C. The NPI Number for Gloria Jean Eagle is 1770543506 and holds a License No. 1932 (Arizona).

The current practice location address for Gloria Jean Eagle is 1200 W Mohave Rd, Parker, AZ and can be reached out via phone at 928-669-7380 and via fax at 928-669-7371.

Location: 1200 W Mohave Rd, Parker, AZ, 85344-4467
person
Provider Profile Details
NPI Number
1770543506
Provider Name
Gloria Jean Eagle
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1200 W Mohave Rd, Parker, AZ, 85344-4467
Phone Number
928-669-7380
Fax Number
928-669-7371
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158539 05 AZ
A20324620 01 AZ BLUE CROSS BLUE SHEILD
P00279265 01 AZ RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1200 W Mohave Rd
City
State
Zip
85344-6349
Phone Number
928-669-7380
Fax Number
928-669-7371
person
Provider Business Mailing Address Details
Address
1200 W Mohave Rd
City
State
Zip
85344-6349
Phone Number
928-669-7380
Fax Number
928-669-7371
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1932 (Arizona)
Definition
Definition to come...
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