Individual
VINCENT A REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT, RCP
Contact information
Practice address
N7, CORNER OF ROUTES N12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
11671 E 36TH ST, YUMA, AZ 85367-4985
(319) 981-6966
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
022860
AZ
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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