Eagle, Zachary Ryan

Eagle, Zachary Ryan is an individual health care provider with primary practice located at 60 Mdg/Sgcq 101 Bodin Circle, Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Eagle, Zachary Ryan can be contacted via phone (707) 423-5041.

Contact Information

Primary practice address
60 Mdg/Sgcq 101 Bodin Circle Travis Afb CA 94535-1809
Phone: (707) 423-5041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 28122 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28122 Mississippi

Profile Details

NPI number 1689166290
LBN Legal business name Eagle, Zachary Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated Jul 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689166290 NPPES
Mississippi MEDICAID 05603775

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