Individual
REGAN S GALLAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 ADA AVE STE 302A, CONWAY, AR 72034-4985
(501) 932-0352
(501) 932-0354
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 932-0352
(501) 932-0354
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E3374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149280001
—
AR
01
—
5M327
AR BC/BS
AR
01
—
P00301757
RR MCR
AR
Enumeration date
07/14/2006
Last updated
01/07/2025
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