Individual
BRIAN LEE REGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1861
NE
Other
Enumeration date
10/20/2014
Last updated
11/16/2021
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