Individual
DR. BRIAN JOSEPH REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6221 METROPOLITAN STREET, SUITE 100, CARLSBAD, CA 92009
(760) 707-5090
(760) 707-5097
Mailing address
6221 METROPOLITAN STREET, SUITE 100, CARLSBAD, CA 92009
(760) 707-5090
(760) 707-5097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G585750
CA
174400000X
Specialist
Primary
G85875
CA
Other
Enumeration date
08/26/2005
Last updated
06/18/2010
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