Individual
DR. REGINA B VAN BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 889-7403
(623) 889-7407
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
47932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445218
—
AZ
Enumeration date
04/19/2006
Last updated
08/04/2020
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