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Individual

ANDREW DAVID REGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2347 E GALA ST, MERIDIAN, ID 83642-4881
(208) 706-6718
(208) 323-3750
Mailing address
7015 E TAO ST, BOISE, ID 83716-8825
(630) 742-4899

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-8958
IA
207RP1001X
Pulmonary Disease Physician
Primary
O-0930
ID

Other

Enumeration date
06/15/2010
Last updated
07/21/2022
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