Provider Demographics
NPI:1326066861
Name:MARGARET EAGAN CANTERBURY INC
Entity Type:Organization
Organization Name:MARGARET EAGAN CANTERBURY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:EAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-394-9355
Mailing Address - Street 1:4500 E 9TH AVE
Mailing Address - Street 2:#450 S
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3900
Mailing Address - Country:US
Mailing Address - Phone:303-394-9355
Mailing Address - Fax:303-394-1932
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:#450 S
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3900
Practice Address - Country:US
Practice Address - Phone:303-394-9355
Practice Address - Fax:303-394-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO552378Medicare ID - Type Unspecified