Organization
THE REJUVENATION CENTER OF CHANDLER
Active
Other names
The Rejuvenation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON L SMITH (BILLING OPERATIONS MANAGER)
(402) 391-2635
Entity
Organization
Contact information
Practice address
1445 W CHANDLER BLVD, BLDG A, CHANDLER, AZ 85224-6130
(480) 899-4878
Mailing address
1910 S 72ND ST, STE 302, OMAHA, NE 68124-1734
(402) 391-2635
(402) 391-0326
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
07/24/2007
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