Healthcare Provider Details

I. General information

NPI: 1639273717
Provider Name (Legal Business Name): REGAL MEDICAL SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 RICHMOND RD
WARSAW VA
22572-5020
US

IV. Provider business mailing address

5020 RICHMOND RD
WARSAW VA
22572-5020
US

V. Phone/Fax

Practice location:
  • Phone: 804-333-4646
  • Fax:
Mailing address:
  • Phone: 804-333-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT PHILLIPS
Title or Position: MANAGER
Credential:
Phone: 804-333-4646