TERRENCE REAGAN

RIO RANCHO, NM
NPI1275627663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  92124)
Enumeration Date2006-10-03
Last Update Date2016-03-24
Business Address
-- TERRENCE REAGAN MD
4005 HIGH RESORT BLVD SE PMG HIGH RESORT 4005
RIO RANCHO, NM 87124-5906
Phone number: 505-462-6000
Mailing Address
-- TERRENCE REAGAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770