Individual
JOHN REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
731 SKIPTON, NORTH SALT LAKE, UT 84054-6071
(801) 842-6058
Mailing address
731 SKIPTON, NORTH SALT LAKE, UT 84054-6071
(801) 842-6058
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
8716994-0501
UT
Other
Enumeration date
06/22/2012
Last updated
01/19/2016
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