Matthew Laurance Reagan

NPI #1821502683 in Jbphh, Hawaii

Provider Information

NPI Number: 1821502683
Entity Type: Individual
Name: Matthew Laurance Reagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 480 CENTRAL AVE
City: Jbphh
State: Hawaii
ZIP Code: 96860-4908
Phone: (808) 473-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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