Organization
JOINT REGENERATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA RICCI (ADMINISTRATOR)
(602) 429-0404
Entity
Organization
Contact information
Practice address
4340 E INDIAN SCHOOL RD STE 21-536, PHOENIX, AZ 85018-5360
(602) 429-0404
(480) 603-3244
Mailing address
4340 E INDIAN SCHOOL RD STE 21-536, PHOENIX, AZ 85018-5360
(602) 429-0404
(480) 603-3244
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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