Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0531167 | KS |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4987 | OK |
NPI | 1023076528 |
---|---|
Provider Name | Chris W Regier |
First Address | Atlanta, GA 30384-5457 |
Second Address | Midwest City, OK 73130-3336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 30/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200333650A | (05) | KS |
H47948 | (02) |