Individual
DR. JEFFERY DAVID REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.,CCC-A
Contact information
Practice address
100 NAVARRE PLACE, SUITE 4430, SOUTH BEND, IN 46601-1171
(574) 246-1000
(574) 246-4000
Mailing address
2440 JEFFREY LN, NILES, MI 49120-7706
(269) 684-2324
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002023A
IN
Other
Enumeration date
11/17/2006
Last updated
12/20/2007
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