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Organization

AZ REGENERATIVE MEDICNE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY WARD FROST DC (OWNER)
(602) 992-2656
Entity
Organization

Contact information

Practice address
16620 N 40TH ST STE G2, PHOENIX, AZ 85032-3351
(602) 992-2656
Mailing address
16620 N 40TH ST STE G2, PHOENIX, AZ 85032-3351
(602) 992-2656

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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