Individual
DOUGLAS STEPHEN REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 LITTLE MOUNTAIN LN, WHITEFISH, MT 59937-8047
(435) 525-0117
Mailing address
150 LITTLE MOUNTAIN LN, WHITEFISH, MT 59937-8047
(435) 525-0117
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158238
—
IA
Enumeration date
04/13/2006
Last updated
12/01/2022
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