MACKENNON EGAN

ORANGE, CA
NPI1295529550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-09
Last Update Date2025-04-09
Business Address
MACKENNON EGAN MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-7890
Mailing Address
MACKENNON EGAN MD
19911 FLAGSTONE LN
HUNTINGTON BEACH, CA 92646-3821
Phone number: 714-421-9788