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Individual

MRS. SHEILA D REGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7379 W DESCHUTES AVE, STE 100, KENNEWICK, WA 99336-7900
(509) 987-1800
(509) 987-1808
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTINS & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35242
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8209728
WA
01
8966483
CIGNA
WA
01
P0000063587
MODA HEALTH
WA
01
P01487106
RAILROAD MEDICARE
WA
Enumeration date
11/30/2005
Last updated
09/04/2015
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