Individual
REGINA MAY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Mailing address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD00038187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200041272
RAILROAD MEDICARE
—
05
—
8251258
—
WA
Enumeration date
06/01/2006
Last updated
04/20/2016
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