Doctor Name: | BARBARA ANNE REGAN |
NPI Number: | 1437129897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 453 |
Business Practice Address: | 900 Fairmont Rd Westover, WV - 265013847 |
Business Phone Number: | 3042927316 |
Business Fax Number: | 3042964408 |
Mailing Address: | 1197 Van Voorhis Rd, MORGANTOWN |
State: | WV |
Postal Code: | 265053478 |
Phone Number: | 3045999400 |
Fax Number: | 3045998917 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 02/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |