Organization
RENUE REGENERATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VANDEVER D.C. (OWNER)
(623) 566-3436
Entity
Organization
Contact information
Practice address
7557 W GREENWAY RD STE 101, PEORIA, AZ 85381-3804
(623) 566-3436
Mailing address
7557 W GREENWAY RD STE 101, PEORIA, AZ 85381-3804
(623) 566-3436
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
06/14/2021
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