Individual
DR. MICHAEL JOHN REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 848-6661
(253) 770-5990
Mailing address
PO BOX 662050, ARCADIA, CA 91066-2050
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00017599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8108003
—
WA
Enumeration date
06/28/2006
Last updated
06/27/2008
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