Individual provider · Type 1 NPI

Shaun Ryan Egly, IDC

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1710607494 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Call (619) 532-5110 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710607494

Shaun Ryan Egly, IDC's National Provider Identifier is 1710607494, issued on Sep 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 1, 2022.