Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25976 | NE |
NPI | 1003044439 |
---|---|
Provider Name | Dr. Regina Maria Reinsvold |
First Address | Biloxi, MS 39534 |
Second Address | Biloxi, MS 39534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 03/05/2018 |