National Provider Identifier

Gary Eugene Eggleston, MD

Gary Eugene Eggleston, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Westfield, NY and a listed phone number of (716) 326-4678.

NPI 1487629515Westfield, NYFamily Medicine Physician

Profile Overview

NPI
1487629515
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
February 22, 2006
Last Updated
September 28, 2009

Practice Location

  • 138 E Main St
  • Westfield, NY 14787-1121

Phone: (716) 326-4678

Mailing Address

  • 138 E Main St
  • PO Box 10
  • Westfield, NY 14787-1121

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1487629515
Entity Type
Individual
Last Name
Eggleston
First Name
Gary
Middle Name
Eugene
Name Prefix
Dr.
Credential
MD
Mailing Street Address
138 E Main St
Mailing Address Line 2
PO Box 10
Mailing City
Westfield
Mailing State
NY
Mailing ZIP Code
14787-1121
Mailing Country
US
Mailing Phone
(712) 326-4678
Mailing Fax
(712) 326-4914
Practice Street Address
138 E Main St
Practice City
Westfield
Practice State
NY
Practice ZIP Code
14787-1121
Practice Country
US
Practice Phone
(716) 326-4678
Practice Fax
(716) 326-4914
Enumeration Date
February 22, 2006
Last Updated
September 28, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
00722069 (NY)