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Organization
CENTER FOR REGENERATIVE MEDICINE PA
Active
Organization
CENTER FOR REGENERATIVE MEDICINE PA
Active
Other names
Clearstone Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD STIPANUK MD (INCORPORATER/ORGANIZER/OWNER)
(870) 201-0534
Entity
Organization
Contact information
Practice address
3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
(501) 333-6654
Mailing address
3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
(501) 333-6654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
08/18/2021
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