Provider Demographics
NPI:1710981329
Name:REGER, DON A (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:A
Last Name:REGER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1555 W IRON SPRINGS RD
Mailing Address - Street 2:STE 12
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1395
Mailing Address - Country:US
Mailing Address - Phone:928-778-9116
Mailing Address - Fax:928-541-0384
Practice Address - Street 1:1555 W IRON SPRINGS RD
Practice Address - Street 2:STE 12
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1395
Practice Address - Country:US
Practice Address - Phone:928-778-9116
Practice Address - Fax:928-541-0384
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ1031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor