Organization
ORTHOPAEDIC REGENERATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO MATTALINO MD (OWNER)
(602) 429-0404
Entity
Organization
Contact information
Practice address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
(602) 429-0404
Mailing address
4400 N SCOTTSDALE RD # 9-844, SCOTTSDALE, AZ 85251-3331
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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