# GOODWIN ELITE ORTHOBIOLOGICS AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regenexx Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366194862
- **Authorized official:** SANDY FRIDAY CTP (CREDENTILAER)
- **Authorized official phone:** (702) 800-8988

## Contact information

- **Practice address:** 100 N GREEN VALLEY PKWY STE 325, HENDERSON, NV 89074-6393
- **Practice address phone:** (702) 722-6030
- **Mailing address:** 100 N GREEN VALLEY PKWY STE 325, HENDERSON, NV 89074-6393
- **Mailing address phone:** (702) 722-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 05/18/2022