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Organization
RENOVARE CLINIC OF NATURAL MEDICINE PA
Active
Organization
RENOVARE CLINIC OF NATURAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHARLES GERHART DC (CEO)
(623) 776-0206
Entity
Organization
Contact information
Practice address
18301 NORTH 79TH AVE, SUITE G190, GLENDALE, AZ 85308
(623) 776-0206
(623) 776-0282
Mailing address
18301 NORTH 79TH AVE, SUITE G190, GLENDALE, AZ 85308
(623) 776-0206
(623) 776-0282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7243
AZ
111NI0900X
Internist Chiropractor
Primary
7243
AZ
171100000X
Acupuncturist
7243
AZ
Other
Enumeration date
12/01/2006
Last updated
04/08/2008
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