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Organization

EXECUTIVE REGENERATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD PERIGO (CEO)
(559) 730-6083
Entity
Organization

Contact information

Practice address
3815 HIGHWAY 66 S STE 1, ROGERSVILLE, TN 37857-5197
(866) 214-6774
Mailing address
2052 MEMORY LN, PORTERVILLE, CA 93257-6298
(559) 730-6083

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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