Provider Demographics
NPI:1023076528
Name:REGIER, CHRIS W (DO)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:W
Last Name:REGIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 405457
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5457
Mailing Address - Country:US
Mailing Address - Phone:405-737-2845
Mailing Address - Fax:405-737-2847
Practice Address - Street 1:9020 E RENO AVE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3336
Practice Address - Country:US
Practice Address - Phone:405-737-2845
Practice Address - Fax:405-737-2847
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0531167207Y00000X
OK4987207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200333650AMedicaid
KS104430Medicare ID - Type Unspecified
KS200333650AMedicaid