# RENU WELLNESS INSTITUTE, PLLC

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

## Provider details

- **NPI number:** 1811430606
- **Authorized official:** ERIC CHURCH MD (PRESIDENT)
- **Authorized official phone:** (480) 265-0890

## Contact information

- **Practice address:** 130 S VAL VISTA DR STE 102, GILBERT, AZ 85296-1363
- **Practice address phone:** (480) 265-0890
- **Mailing address:** 10810 N TATUM BLVD, SUITE 102-302, PHOENIX, AZ 85028-6055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 28649 | AZ | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 12/03/2018