Individual
DR. BRIAN REAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
7140 INTERLAAKEN DR SW, LAKEWOOD, WA 98499-1805
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0002307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013440
—
WA
Enumeration date
06/07/2006
Last updated
07/08/2007
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