Individual
REGAN TABOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 WOODRIDGE, WICHITA, KS 67206
(316) 685-3698
Mailing address
PO BOX 1148, WICHITA, KS 67201-1148
(316) 685-3698
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-20187
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102861
BCBS
KS
01
—
P00008997
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
07/08/2007
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