MEDICARE: DR. DON A REGER DC

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
1	111N00000X	Chiropractor	AZ1031	AZ

General Provider Information

NPI Number	:	1710981329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DON A REGER DC

Provider Business Mailing Address
First Line	:	1555 W IRON SPRINGS RD
Second Line	:	STE 12
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-1395
Country	:	US
Telephone Number	:	928-778-9116
Fax Number	:	928-541-0384

Provider Business Practice Location Address
First Line	:	1555 W IRON SPRINGS RD
Second Line	:	STE 12
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-1395
Country	:	US
Telephone Number	:	928-778-9116
Fax Number	:	928-541-0384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/08/2007

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