Organization
COMPREHENSIVE SURGICAL CARE OF FLAGSTAFF, LLC
Active
Parent organization
REGEN ASC MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGEN ASC MANAGEMENT
Authorized official
JOEL RAINWATER (PRESIDENT)
(480) 219-0123
Entity
Organization
Contact information
Practice address
2301 N 4TH ST, FLAGSTAFF, AZ 86004-3708
(480) 591-9345
Mailing address
2301 N 4TH ST, FLAGSTAFF, AZ 86004-3708
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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