MEDICARE: CHRIS W REGIER DO

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	207Y00000X	Otolaryngology Physician	0531167	KS
2	207Y00000X	Otolaryngology Physician	4987	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023076528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS W REGIER DO

Provider Business Mailing Address
First Line	:	PO BOX 405457
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-5457
Country	:	US
Telephone Number	:	405-737-2845
Fax Number	:	405-737-2847

Provider Business Practice Location Address
First Line	:	9020 E RENO AVE
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-3336
Country	:	US
Telephone Number	:	405-737-2845
Fax Number	:	405-737-2847

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	10/30/2020

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Directions to “ CHRIS W REGIER DO” Practice Location

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