IndividualActive
John Reagan, DPM
NPI 1275896359 · Podiatrist · North Salt Lake, UT
Provider details
- NPI number
- 1275896359
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8716994-0501 (UT)
Mailing address
731 Skipton
North Salt Lake, UT 84054-6071
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.