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NPI Code Detail

MEDICARE: BARBARA ANNE REGAN PA-C

MEDICARE: BARBARA ANNE REGAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant453WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1970008643OTHERWVRAILROAD MEDICARE

General Provider Information

NPI Number : 1437129897
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANNE REGAN PA-C
Provider Business Mailing Address
First Line : 1197 VAN VOORHIS RD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3478
Country : US
Telephone Number : 304-599-9400
Fax Number : 304-599-8917
Provider Business Practice Location Address
First Line : 900 FAIRMONT RD
Second Line :
City : WESTOVER
State : WV
Zip : 26501-3847
Country : US
Telephone Number : 304-292-7316
Fax Number : 304-296-4408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 02/17/2009

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Directions to “ BARBARA ANNE REGAN PA-C” Practice Location

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