Provider Demographics
NPI:1427101492
Name:STUART, REGAN BOYD (MD)
Entity type:Individual
Prefix:DR
First Name:REGAN
Middle Name:BOYD
Last Name:STUART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REGAN
Other - Middle Name:BOYD
Other - Last Name:STUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2040 GREAT HWY
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1054
Mailing Address - Country:US
Mailing Address - Phone:415-664-7646
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:415-607-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69189174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist