Individual provider · Type 1 NPI

Gloria Jean Eagle, P.A.-C

Medical Physician Assistant · Parker, AZ

NPI number 1770543506 Active

Practice location

1200 W Mohave Rd
Parker, AZ 85344-6349

Call (928) 669-7380 Map

Fax (928) 669-7371

Mailing address

400 S California Ave
Parker, AZ 85344-4467

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1932 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1770543506

Gloria Jean Eagle, P.A.-C's National Provider Identifier is 1770543506, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Parker, AZ. The record was last updated on Jul 5, 2022.