OrganizationActive
Jeffrey M Reagan MD PLLC
NPI 1194132613 · Sports Medicine (Orthopaedic Surgery) Physician · Lakeside, AZ
Provider details
- NPI number
- 1194132613
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jamie Barnett, Office Manager
- License
- 49407 (AZ)
Practice location
4830 Highway 260 Ste 103
Lakeside, AZ 85929-5851
Phone: (928) 537-8777
Fax: (928) 537-1914
Mailing address
4830 Highway 260 Ste 103
Lakeside, AZ 85929-5851
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2014-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.