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Organization

REGENERATIVE SURGICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELO MATTALINO MD (MEDICAL DIRECTOR)
(602) 429-0404
Entity
Organization

Contact information

Practice address
2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
(602) 429-0404
(480) 603-3244
Mailing address
4400 N SCOTTSDALE ROAD, SUITE 9 . #88, SCOTTSDALE, AZ 85251
(602) 429-0404
(480) 603-3244

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
11/27/2019
Last updated
11/27/2019
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