Individual
DYLAN REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
PO BOX 151, DECATUR, IN 46733-0151
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28225385A
IN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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