Individual
DR. JASON K REGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7140
Mailing address
36 RIVER OAKS, MCALESTER, OK 74501-7091
(918) 423-0708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3691
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203691
—
OK
Enumeration date
02/14/2006
Last updated
07/08/2007
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