Organization
REGEN ADVANCED INFUSION AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE DANIEL BISHOP MD (PARTNER)
(480) 341-5174
Entity
Organization
Contact information
Practice address
14067 W CYPRESS ST, GOODYEAR, AZ 85395-5703
(602) 380-4090
Mailing address
14067 W CYPRESS ST, GOODYEAR, AZ 85395-5703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
02/01/2022
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