Organization
CENTER FOR REGENERATIVE MEDICINE PA
Active
Other names
Clearstone Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD STIPANUK MD (INCORPORATER/ORGANIZER/OWNER)
(870) 201-0534
Entity
Organization
Contact information
Practice address
3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
(501) 333-6654
Mailing address
3525 HIGHWAY 5 N STE 200, BRYANT, AR 72019-9092
(501) 333-6654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
08/18/2021
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