# CENTER FOR REGENERATIVE MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clearstone Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093364820
- **Authorized official:** DR. GERALD STIPANUK MD (INCORPORATER/ORGANIZER/OWNER)
- **Authorized official phone:** (870) 201-0534

## Contact information

- **Practice address:** 3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
- **Practice address phone:** (501) 333-6654
- **Mailing address:** 3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
- **Mailing address phone:** (501) 333-6654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2019
- **Last updated:** 08/18/2021