Individual
TAMMIE D REGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14101 N EASTERN AVE STE B, EDMOND, OK 73013-5860
(888) 245-9806
Mailing address
4300 CARAVEL DR APT 1115, YUKON, OK 73099-3782
(580) 716-0245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
981
OK
363A00000X
Physician Assistant
Primary
981
OK
363AM0700X
Medical Physician Assistant
981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227880A
—
OK
Enumeration date
02/20/2006
Last updated
05/15/2025
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