# REGENESIS WELLNESS CENTER OF SCOTTSDALE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215354543
- **Authorized official:** DANETTE MITCHELL (OWNER)
- **Authorized official phone:** (480) 443-0004

## Contact information

- **Practice address:** 9188 E SAN SALVADOR DR STE 201, SCOTTSDALE, AZ 85258-5534
- **Practice address phone:** (480) 443-0004
- **Practice address fax:** (480) 391-7793
- **Mailing address:** 9188 E SAN SALVADOR DR STE 201, SCOTTSDALE, AZ 85258-5534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 12/13/2018