Provider Demographics
NPI:1417906355
Name:EAGAR, RONALD MCREE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MCREE
Last Name:EAGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:R.
Other - Middle Name:M
Other - Last Name:EAGAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8463 E MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1724
Mailing Address - Country:US
Mailing Address - Phone:303-741-1485
Mailing Address - Fax:303-741-1662
Practice Address - Street 1:8463 E MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1724
Practice Address - Country:US
Practice Address - Phone:303-741-1485
Practice Address - Fax:303-741-1662
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO192272080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine