Organization
REGEN PLUS INC
Active
Organization
REGEN PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KNOX (ADMINISTRATION)
(602) 290-5200
Entity
Organization
Contact information
Practice address
20229 N 67TH AVE STE C1A, GLENDALE, AZ 85308-6404
(602) 595-7836
(602) 419-2210
Mailing address
5562 W ARROWHEAD LAKES DR, GLENDALE, AZ 85308-6293
(602) 290-5200
(602) 419-2210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053742197
—
AZ
05
—
1770088205
—
AZ
Enumeration date
01/20/2023
Last updated
01/20/2023
Update your record
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