Provider Demographics
NPI:1598826158
Name:EGAN, CYNTHIA C (DO)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:C
Last Name:EGAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LOUISE
Other - Last Name:CHOBANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 GLENMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-7121
Mailing Address - Country:US
Mailing Address - Phone:303-781-6761
Mailing Address - Fax:
Practice Address - Street 1:3 GLENMOOR CIR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-7121
Practice Address - Country:US
Practice Address - Phone:303-781-6761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30444207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine