Individual
REAGAN R. DUNNAHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(706) 354-5770
(706) 354-5769
Mailing address
PO BOX 5719, ATHENS, GA 30604-5719
(706) 354-5770
(706) 354-5769
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
96-PA02
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H6226
—
NM
Enumeration date
08/24/2005
Last updated
07/27/2011
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