IndividualActive
Reagan Fails, PA-C
NPI 1811399116 · Medical Physician Assistant · Beaver, UT
Provider details
- NPI number
- 1811399116
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9140864-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1059 N 100 W
Beaver, UT 84713-1690
Phone: (435) 438-7280
Fax: (435) 438-7210
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1690
Beaver, UT 84713-1690
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2014-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.