Individual
JAMES T REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
(304) 691-1666
Mailing address
PO BOX 9118, MINNEAPOLIS, MN 55480-9118
(865) 694-7725
(865) 673-8007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57320
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
26524
WV
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
57320
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045520
—
TN
Enumeration date
05/07/2013
Last updated
08/14/2023
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