Organization
REJUVENOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY WOLTER (OWNER)
(520) 481-3121
Entity
Organization
Contact information
Practice address
2828 N STONE AVE, TUCSON, AZ 85705-4503
(520) 481-3121
Mailing address
7843 E SABINO HOLLOW CT, TUCSON, AZ 85750-7223
(520) 481-3121
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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