# REGGIE A VADEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700983343
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 2014008946 | MO | — |
| 208600000X | Surgery Physician | 40886 | IA | — |
| 208C00000X | Colon & Rectal Surgery Physician | 2014008945 | MO | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | K8545 | TX | — |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 02/07/2017
