Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY MAURICE REAGAN, M.D.
Active Sole ProprietorJEFFREY MAURICE REAGAN, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in LAKESIDE, Arizona. NPI 1477750636 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · LAKESIDE, AZ
Registration Details
- NPI Number
- 1477750636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.170860847447 yrs)
- Last Updated
- Jul 15, 2014
- License
-
49407 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4830 HIGHWAY 260 STE 103LAKESIDE, AZ, 859295851Browse AZ providers · Browse ZIP 85929
- Phone
- 9285378777
- Fax
- 9285371914
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.